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94762 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 36 state Medicaid programs publish a fee-for-service rate for 94762 at the physician psychologist level. Rates run from $10.60 in New Jersey to $54.84 in Nebraska, with a median of $20.35.

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

States publishing
36
Median rate
$20.35units vary by state
Highest
$54.84Nebraska
Medicare (non-facility)
$20.67–$29.372026 physician fee schedule

94762 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$54.84since 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)$41.75since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$34.02since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$33.80since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$31.40since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArizonaPhysician or licensed psychologist (incl. BCBA-D) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$27.55since 2024-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$27.31since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$23.26since 2025-01-01——Plans negotiate; applies out of network—DMAP 2025 Physician Fee Schedule
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$23.19since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$22.94since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$22.83since 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)$22.21since 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)$22.06since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$21.93since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$21.55since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$20.93since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.83since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$20.40since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$20.29since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$20.25since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$20.18since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$20.07since 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)$19.86since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$19.73since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$19.55since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$19.11since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$18.99since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$18.97since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$18.78since 2025-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$18.60since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$16.44since 2017-01-01——Plans must pay at least this—Provider Type 72 Nurse Anesthetist Reimb
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$15.95since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$15.10since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$14.40since 1996-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$12.89since 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)$10.60since 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 94762?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $20.35. Nebraska pays the most ($54.84) and New Jersey the least ($10.60).

Which state pays the highest Medicaid rate for 94762?

Nebraska, at $54.84, effective 2026-07-01.

Do managed-care plans pay the same rate for 94762?

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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