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94610 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 40 state Medicaid programs publish a fee-for-service rate for 94610 at the physician psychologist level. Rates run from $20.27 in New Jersey to $92.03 in Alaska, with a median of $44.29.

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

States publishing
40
Median rate
$44.29units vary by state
Highest
$92.03Alaska
Medicare (non-facility)
—not on the physician fee schedule

94610 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
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$92.03since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$88.56since 2026-09-24——Not classified—Teaching Facility Fee Schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$83.94since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$80.76since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$67.14since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$60.32since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$54.90since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$54.40since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$51.13since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$50.42since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$49.93since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$48.89since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$48.40since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$47.51since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$47.40since 2026-01-01——Not classified—Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$46.67since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$46.21since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$45.74since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$45.45since 2007-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$44.98since 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)$43.60since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$43.46since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$41.56since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$41.48since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$41.38since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$41.37since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$41.25since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$39.68since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$39.46since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$38.90since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$38.34since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$38.03since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$37.92since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$37.08since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$36.53since 2007-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$35.50since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$33.49since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$30.46since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$30.09since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$20.27since 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 94610?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $44.29. Alaska pays the most ($92.03) and New Jersey the least ($20.27).

Which state pays the highest Medicaid rate for 94610?

Alaska, at $92.03, effective 2026-07-01.

Do managed-care plans pay the same rate for 94610?

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 94610 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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