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92538 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $13.25 for 92538 across 48 states, from $6.57 in New Jersey to $23.02 in Nebraska.

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

States publishing
48
National median
$13.25units vary by state
Lowest
$6.57New Jersey
Highest
$23.02Nebraska

What does Medicaid pay for 92538?

48 state Medicaid programs publish a fee-for-service rate for 92538 at the physician psychologist level. The national median is $13.25 (units differ between states). Nebraska pays the most, $23.02, and New Jersey the least, $6.57, a 3.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $19.79–$27.49 depending on the state's Medicare locality.

92538 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$23.02——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$22.70——Plans must pay at least this—
3Arizona Source · since 2025-10-01$22.66——Plans negotiate; applies out of network—
24Virginia Source · since 2026-07-01$13.31——Plans negotiate; applies out of network—
25Texas Source · since 2024-03-01$13.19——Plans negotiate; applies out of network—
26Mississippi Source · since 2026-07-01$13.08——Plans must pay at least this—
47South Carolina Source · since 2024-07-01$8.45——Plans negotiate; applies out of network—
48New Jersey Source · since 2026-07-01$6.57——Not classified—
See all 48 states for 92538 — start free

40 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 92538 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 92538?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $13.25. Nebraska pays the most ($23.02) and New Jersey the least ($6.57).

Which state pays the highest Medicaid rate for 92538?

Nebraska, at $23.02, effective 2026-07-01.

Do managed-care plans pay the same rate for 92538?

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 workspace shows the rule for each state, cited to the contract or statute.