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94645 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 40 state Medicaid programs publish a fee-for-service rate for 94645 at the physician psychologist level. Rates run from $7.36 in New Jersey to $23.48 in Montana, with a median of $12.89.

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

States publishing
40
Median rate
$12.89units vary by state
Highest
$23.48Montana
Medicare (non-facility)
$14.23–$23.782026 physician fee schedule

94645 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$23.48since 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)$21.98since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$19.91since 2026-09-24——Not classified—Teaching Facility Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$18.76since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$17.07since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$17.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$16.45since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$16.14since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$15.07since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$14.53since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$14.47since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$14.02since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$13.93since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$13.79since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$13.56since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$13.53since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$13.24since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$13.15since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$12.99since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$12.91since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$12.86since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$12.52since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$12.24since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$11.88since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$11.28since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$11.06since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$11.05since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$10.82since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$10.65since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$10.49since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$10.18since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$10.07since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$9.80since 2008-03-15——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$9.68since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$9.53since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$9.38since 2024-01-01——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)$9.13since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$8.30since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$7.43since 2007-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$7.36since 2025-01-01——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 94645?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $12.89. Montana pays the most ($23.48) and New Jersey the least ($7.36).

Which state pays the highest Medicaid rate for 94645?

Montana, at $23.48, effective 2026-07-01.

Do managed-care plans pay the same rate for 94645?

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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