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92604 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $66.62 for 92604 across 49 states, from $29.86 in Ohio to $154.84 in Alaska.

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

States publishing
49
National median
$66.62units vary by state
Lowest
$29.86Ohio
Highest
$154.84Alaska

What does Medicaid pay for 92604?

49 state Medicaid programs publish a fee-for-service rate for 92604 at the physician psychologist level. The national median is $66.62 (units differ between states). Alaska pays the most, $154.84, and Ohio the least, $29.86, a 5.2x spread. Where the billing unit matches Medicare's, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state.

Medicare (non-facility, 2026 physician fee schedule): $80.94–$112.03 depending on the state's Medicare locality.

92604 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$154.84——Not classified—
2New Mexico Source · since 2025-01-01$125.56——Plans must pay at least this—
3Montana Source · since 2026-07-01$123.01——Not classified—
24Arkansas Source · since 2025-06-13$67.66——Not classified—
25Hawaii Source · since 2026-06-01$66.62——Plans must pay at least this—
26Indiana Source · since 2026-01-01$61.48unit—Plans must pay at least this—
48Washington Source · since 2026-07-01$31.72——Plans negotiate; applies out of network—
49Ohio Source · since 2024-01-01$29.86——Plans negotiate; applies out of network—
See all 49 states for 92604 — start free

41 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 92604 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 92604?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $66.62. Alaska pays the most ($154.84) and Ohio the least ($29.86).

Which state pays the highest Medicaid rate for 92604?

Alaska, at $154.84, effective 2026-07-01.

How do Medicaid rates for 92604 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 92604?

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.