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95180 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 40 state Medicaid programs publish a fee-for-service rate for 95180 at the physician psychologist level. Rates run from $47.07 in New Hampshire to $206.15 in Alabama, with a median of $97.08.

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

States publishing
40
Median rate
$97.08units vary by state
Highest
$206.15Alabama
Medicare (non-facility)
$126.87–$174.032026 physician fee schedule

95180 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$206.15since 2026-09-24——Not classified—Teaching Facility Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$195.20since 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)$193.43since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$128.34since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$126.17since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$121.53since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$119.07since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$117.19since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$115.57since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$114.78since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$113.13since 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)$112.82since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$112.56since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$112.04since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$112.00since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$111.80since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$111.09since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$106.00since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$100.00since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$99.11since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$95.05since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$95.04since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$93.70since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$92.88since 1978-07-28——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$91.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$87.76since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$87.63since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$85.61since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$79.82since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$76.58since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$75.46since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$73.58since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$70.08since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$67.25since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$66.55since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$66.41since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$61.64since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$59.27since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$51.41since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$47.07since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R

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 95180?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $97.08. Alabama pays the most ($206.15) and New Hampshire the least ($47.07).

Which state pays the highest Medicaid rate for 95180?

Alabama, at $206.15, effective 2026-09-24.

Do managed-care plans pay the same rate for 95180?

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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