92636 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 17 state Medicaid programs publish a fee-for-service rate for 92636 at the physician psychologist level. Rates run from $12.00 in Pennsylvania to $43.04 in Louisiana, with a median of $28.75.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $28.75units vary by state
- Highest
- $43.04Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
92636 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $43.04since 2026-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $42.26since 2026-01-01 | — | — | Not classified | — | SCDHHS Audiology Fee Schedule (schedule |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $42.00since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $40.00since 2026-01-01 | percent of billed charges | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $38.87since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $35.75since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Hearing Aid Dealers Fee Schedule d |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $34.05since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $33.52since 2026-01-01 | — | — | Not classified | — | CMAP fee schedule: Independent Audiology |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $28.75since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Administrative Bulletin 26-07: 101 CMR 3 |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $25.00since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Audiology fee schedule (2026 |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $22.80since 2026-01-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Nurse Practiti |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $22.40since 2026-08-25 | — | — | Not classified | — | Practitioner Fee Schedule (REF-0135-Q) |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $21.10since 2026-07-29 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Heari |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $16.30since 2026-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $15.00since 2026-03-27 | — | — | Not classified | — | Arkansas Medicaid Hearing Services Fee S |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $14.79since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | HFS Audiology Fee Schedule (effective 20 |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $12.00since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
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 92636?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $28.75. Louisiana pays the most ($43.04) and Pennsylvania the least ($12.00).
Which state pays the highest Medicaid rate for 92636?
Louisiana, at $43.04, effective 2026-01-01.
Do managed-care plans pay the same rate for 92636?
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.
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Track 92636 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.