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93980 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 93980 at the physician psychologist level. Rates run from $31.71 in New Jersey to $165.62 in California, with a median of $55.08.

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

States publishing
37
Median rate
$55.08units vary by state
Highest
$165.62California
Medicare (non-facility)
$108.92–$159.012026 physician fee schedule

93980 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$165.62since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$164.52since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$164.19since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$125.35since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$122.62since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$121.50since 2013-07-01——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)$120.12since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$106.27since 2014-12-31——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$98.55since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$96.29since 2026-09-24——Not classified—Teaching Facility Fee Schedule
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$94.14since 2009-05-28——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$93.65since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$91.74since 2025-08-15——Not classified—Arkansas Medicaid Physician / CRNA / Fam
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$89.18since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$85.92since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$84.79since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$75.42since 2006-06-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$57.02since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$55.08since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$54.16since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$53.89since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$52.96since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$51.25since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$49.83since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$49.70since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$49.30since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$47.92since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$47.81since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$47.54since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$47.05since 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)$46.00since 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 (fee-for-service, Bureau for Medical Services)$41.97since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$41.83since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$39.78since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$38.98since 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$38.60since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$31.71since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 93980?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $55.08. California pays the most ($165.62) and New Jersey the least ($31.71).

Which state pays the highest Medicaid rate for 93980?

California, at $165.62, effective 2026-10-01.

Do managed-care plans pay the same rate for 93980?

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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Medicaid rates by state
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