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92519 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 20 state Medicaid programs publish a fee-for-service rate for 92519 at the physician psychologist level. Rates run from $25.55 in New Jersey to $202.96 in Alabama, with a median of $87.36.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
20
Median rate
$87.36units vary by state
Highest
$202.96Alabama
Medicare (non-facility)
$106.85–$135.582026 physician fee schedule

92519 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$202.96since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$116.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$114.61since 2021-10-01——Plans negotiate; applies out of network—Copy of Schedule of Maximum Allw Pymt Ph
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$104.35since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2021
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$103.27since 2021-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$102.40since 2021-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Hearing
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$102.15since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$98.77since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$97.83since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$91.59since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$83.12since 2021-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$82.85since 2021-01-01——Not classified—SCDHHS Audiology Fee Schedule (schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$74.98since 2026-01-01——Plans negotiate; applies out of network—MDHHS Hearing Services Fee Schedule data
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$53.82since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$53.68since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$47.59since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$43.43since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$41.01since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$39.28since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$25.55since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 92519?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $87.36. Alabama pays the most ($202.96) and New Jersey the least ($25.55).

Which state pays the highest Medicaid rate for 92519?

Alabama, at $202.96, effective 2026-09-24.

Do managed-care plans pay the same rate for 92519?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

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