96127 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $4.29 for 96127 across 45 states, from $2.21 in New Jersey to $61.51 in Iowa.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 45
- National median
- $4.29units vary by state
- Lowest
- $2.21New Jersey
- Highest
- $61.51Iowa
What does Medicaid pay for 96127?
45 state Medicaid programs publish a fee-for-service rate for 96127 at the physician psychologist level. The national median is $4.29 (units differ between states). Iowa pays the most, $61.51, and New Jersey the least, $2.21, a 27.8x spread. Where the billing unit matches Medicare's, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state.
Medicare (non-facility, 2026 physician fee schedule): $4.19–$6.92 depending on the state's Medicare locality.
96127 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 96127?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $4.29. Iowa pays the most ($61.51) and New Jersey the least ($2.21).
Which state pays the highest Medicaid rate for 96127?
Iowa, at $61.51, effective 2024-09-01.
How do Medicaid rates for 96127 compare with Medicare?
Where the billing units match, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 96127?
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 workspace shows the rule for each state, cited to the contract or statute.