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93241 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 26 state Medicaid programs publish a fee-for-service rate for 93241 at the physician psychologist level. Rates run from $45.30 in Wisconsin to $372.46 in Arkansas, with a median of $212.28.

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

States publishing
26
Median rate
$212.28units vary by state
Highest
$372.46Arkansas
Medicare (non-facility)
$241.71–$396.012026 physician fee schedule

93241 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
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$372.46since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$360.28since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$348.41since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$287.16since 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)$285.57since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$240.18since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$234.97since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$227.77since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$222.59since 2024-02-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$221.84since 2026-01-01——Not classified—Maryland Medicaid Professional Services
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$220.29since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$218.54since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$214.65since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$209.90since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$200.23since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$194.98since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$186.24since 2024-10-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$178.07since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$175.43since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$169.45since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$165.44since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$150.13since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$122.77since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$91.67since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$71.78since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$45.30since 2021-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-

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 93241?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $212.28. Arkansas pays the most ($372.46) and Wisconsin the least ($45.30).

Which state pays the highest Medicaid rate for 93241?

Arkansas, at $372.46, effective 2025-06-13.

Do managed-care plans pay the same rate for 93241?

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

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