96118 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 5 state Medicaid programs publish a fee-for-service rate for 96118 at the physician psychologist level. Rates run from $40.72 in Michigan to $109.20 in Georgia, with a median of $71.11.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $71.11units vary by state
- Highest
- $109.20Georgia
- Medicare (non-facility)
- —not on the physician fee schedule
96118 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $109.20since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid School Program (school-based services) | $78.31since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $71.11since 2020-01-01 | hour | — | Plans negotiate; applies out of network | — | DMS CMHC Mental Health Substance Abuse f |
| IowaAgency provider · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $61.64since 2005-07-01 | — | — | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #40 AREA EDUC |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $40.72since 2018-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Non-Physician Behavioral Health Fe |
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 96118?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $71.11. Georgia pays the most ($109.20) and Michigan the least ($40.72).
Which state pays the highest Medicaid rate for 96118?
Georgia, at $109.20, effective 2017-01-01.
Do managed-care plans pay the same rate for 96118?
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.