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95800 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 95800 at the physician psychologist level. Rates run from $32.40 in New York to $264.83 in Louisiana, with a median of $88.84.

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

States publishing
37
Median rate
$88.84units vary by state
Highest
$264.83Louisiana
Medicare (non-facility)
$124.58–$192.712026 physician fee schedule

95800 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
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$264.83since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$182.80since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$145.88since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$144.14since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$137.76since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$131.98since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$130.48since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$128.77since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$126.70since 2022-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$114.58since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$114.48since 2011-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$110.12since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$103.66since 2022-08-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$103.46since 2022-10-01——Plans negotiate; applies out of network—Copy of Schedule of Maximum Allw Pymt Ph
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$99.03since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$95.01since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$92.96since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$89.66since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$88.84since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$87.18since 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)$86.65since 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)$85.66since 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)$84.72since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$84.29since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$81.25since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$80.24since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$76.49since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$74.89since 2026-01-07——Not classified—Arkansas Medicaid Physician / CRNA / Fam
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$74.38since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$73.43since 2024-07-01——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)$68.16since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$65.39since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$64.59since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$61.94since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$53.19since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$32.56since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$32.40since 2025-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me

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 95800?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $88.84. Louisiana pays the most ($264.83) and New York the least ($32.40 per unit).

Which state pays the highest Medicaid rate for 95800?

Louisiana, at $264.83, effective 2013-02-01.

Do managed-care plans pay the same rate for 95800?

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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Medicaid rates by state
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