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95806 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 38 state Medicaid programs publish a fee-for-service rate for 95806 at the physician psychologist level. Rates run from $30.32 in New Jersey to $219.36 in Nebraska, with a median of $52.75.

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

States publishing
38
Median rate
$52.75units vary by state
Highest
$219.36Nebraska
Medicare (non-facility)
$92.25–$136.922026 physician fee schedule

95806 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)$219.36⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$214.66⚠ over 3× mediansince 2020-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$130.92since 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)$117.50since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$106.93since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$105.06since 1998-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$97.93since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$96.86since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$93.20since 2008-07-01——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)$92.76since 2023-04-01——Plans negotiate; applies out of network—Copy of Schedule of Maximum Allw Pymt Ph
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$85.59since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$82.72since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$82.16since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$79.76since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$73.60since 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)$69.78since 2025-10-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$56.54since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$56.15since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$54.85since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$50.64since 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)$49.27since 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)$48.80since 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)$48.28since 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)$47.56since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$47.14since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$46.20since 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)$44.99since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$44.11since 2020-03-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$44.04since 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)$43.83since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$38.79since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$38.70since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$38.63since 2024-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$37.33since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$37.28since 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$36.88since 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)$32.65since 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)$30.32since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 95806?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $52.75. Nebraska pays the most ($219.36) and New Jersey the least ($30.32).

Which state pays the highest Medicaid rate for 95806?

Nebraska, at $219.36, effective 2026-07-01.

Do managed-care plans pay the same rate for 95806?

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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