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94774 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 6 state Medicaid programs publish a fee-for-service rate for 94774 at the physician psychologist level. Rates run from $37.14 in Florida to $219.38 in Connecticut, with a median of $109.81.

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

States publishing
6
Median rate
$109.81units vary by state
Highest
$219.38Connecticut
Medicare (non-facility)
—not on the physician fee schedule

94774 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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$219.38since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$167.26since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$115.00since 2019-12-01——Not classified—NJMMIS Procedure Master Listing children
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$104.62since 2009-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$51.47since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$37.14since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)

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 94774?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $109.81. Connecticut pays the most ($219.38) and Florida the least ($37.14).

Which state pays the highest Medicaid rate for 94774?

Connecticut, at $219.38, effective 2026-01-01.

Do managed-care plans pay the same rate for 94774?

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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