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92570 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 45 state Medicaid programs publish a fee-for-service rate for 92570 at the physician psychologist level. Rates run from $0.00 in Arkansas to $49.63 in Alabama, with a median of $24.18.

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

States publishing
45
Median rate
$24.18units vary by state
Highest
$49.63Alabama
Medicare (non-facility)
$29.45–$38.872026 physician fee schedule

92570 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)$49.63since 2026-09-24——Not classified—Teaching Facility Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$45.56since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$44.13since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$32.59since 2026-01-01——Not classified—Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$30.67since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$29.09since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$28.93since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$28.06since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$27.71since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$26.87since 2010-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Hearing
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$26.84since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$26.75since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$26.60since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$26.51since 2026-01-01——Not classified—CMAP fee schedule: Independent Audiology
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$26.45since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$26.45since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$26.38since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$26.10since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$25.66since 2023-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$25.36since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$24.83since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$24.79since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$24.18since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$24.02since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$23.45since 2021-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$21.91since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$21.63since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid School-Based Health Services (SBHS)$21.47since 2026-04-01——Paid by the state, outside plans—School Based Health Services (SBHS) - Di
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$21.05since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$21.03since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$20.67since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.54since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$20.02since 2026-01-01——Plans negotiate; applies out of network—MDHHS Hearing Services Fee Schedule data
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$19.76since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$19.45since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$19.10since 2026-01-01visit—Plans negotiate; applies out of network64%KY Medicaid ST fee schedule (2026SpeechT
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$18.92since 2026-07-01——Plans negotiate; applies out of network—HCA Neurodevelopmental centers fee sched
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$18.78since 2024-04-01——Plans negotiate; applies out of network—HFS Audiology Fee Schedule (effective 20
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$18.44since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$17.96since 2010-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$17.16since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$16.41since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$15.09since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$11.85since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2024-03-26——Not classified—Arkansas Medicaid Hearing Services Fee S

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 92570?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $24.18. Alabama pays the most ($49.63) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 92570?

Alabama, at $49.63, effective 2026-09-24.

How do Medicaid rates for 92570 compare with Medicare?

Where the billing units match, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state (non-facility).

Do managed-care plans pay the same rate for 92570?

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

Track 92570 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state