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92639 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 17 state Medicaid programs publish a fee-for-service rate for 92639 at the physician psychologist level. Rates run from $8.84 in North Carolina to $84.02 in Colorado, with a median of $35.33.

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

States publishing
17
Median rate
$35.33units vary by state
Highest
$84.02Colorado
Medicare (non-facility)
—not on the physician fee schedule

92639 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$84.02since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$59.20since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$49.35since 2026-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$42.84since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$40.00since 2026-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
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
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$35.35since 2026-02-08——Not classified—ND Medicaid Professional (General) Servi
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$35.33since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid School-Based Health Services (SBHS)$34.65since 2026-04-01——Paid by the state, outside plans—School Based Health Services (SBHS) - Di
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$32.50since 2026-01-01——Not classified—SCDHHS Audiology Fee Schedule (schedule
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
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$13.60since 2026-08-25——Not classified—Practitioner Fee Schedule (REF-0135-Q)
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 (
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$11.97since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$11.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$8.84since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti

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 92639?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $35.33. Colorado pays the most ($84.02) and North Carolina the least ($8.84).

Which state pays the highest Medicaid rate for 92639?

Colorado, at $84.02, effective 2026-07-01.

Do managed-care plans pay the same rate for 92639?

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 92639 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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