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96406 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 96406 at the physician psychologist level. Rates run from $21.98 in Washington to $185.45 in Montana, with a median of $87.29.

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

States publishing
37
Median rate
$87.29units vary by state
Highest
$185.45Montana
Medicare (non-facility)
$116.41–$179.562026 physician fee schedule

96406 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$185.45since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$177.88since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$176.49since 2026-09-24——Not classified—Teaching Facility Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$135.56since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$120.77since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 3 (Dr
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$120.38since 2026-01-01——Not classified—Maryland Medicaid Professional Services
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$117.14since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$112.77since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$106.96since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$105.95since 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)$105.75since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$105.35since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$102.66since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$102.50since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$100.91since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$99.83since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$92.71since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$88.99since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$87.29since 2011-07-11——Not classified—SCDHHS Base Physician Fee Schedule (sche
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$86.86since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$84.14since 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)$74.54since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$72.90since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$57.70since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$57.61since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$51.74since 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)$41.50since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$40.82since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$38.95since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$35.49since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$34.50since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$34.00since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$33.11since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$32.41since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$30.33since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$24.86since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$21.98since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 96406?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $87.29. Montana pays the most ($185.45) and Washington the least ($21.98).

Which state pays the highest Medicaid rate for 96406?

Montana, at $185.45, effective 2026-07-01.

Do managed-care plans pay the same rate for 96406?

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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