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96420 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $81.83 for 96420 across 49 states, from $21.60 in Rhode Island to $158.04 in Alaska.

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

States publishing
49
National median
$81.83units vary by state
Lowest
$21.60Rhode Island
Highest
$158.04Alaska

What does Medicaid pay for 96420?

49 state Medicaid programs publish a fee-for-service rate for 96420 at the physician psychologist level. The national median is $81.83 (units differ between states). Alaska pays the most, $158.04, and Rhode Island the least, $21.60, a 7.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $90.49–$148.02 depending on the state's Medicare locality.

96420 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$158.04——Not classified—
2Alabama Source · since 2026-09-24$150.39——Not classified—
3Montana Source · since 2026-07-01$147.89——Not classified—
24Mississippi Source · since 2026-07-01$82.02——Plans must pay at least this—
25Florida Source · since 2026-01-01$81.83——Plans negotiate; applies out of network—
26Massachusetts Source · since 2026-10-01$81.43——Plans negotiate; applies out of network—
48Colorado Source · since 2026-07-01$23.52——Plans negotiate; applies out of network—
49Rhode Island Source · since 1996-01-01$21.60——Plans negotiate; applies out of network—
See all 49 states for 96420 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

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Frequently asked questions

What does Medicaid pay for 96420?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $81.83. Alaska pays the most ($158.04) and Rhode Island the least ($21.60).

Which state pays the highest Medicaid rate for 96420?

Alaska, at $158.04, effective 2026-07-01.

Do managed-care plans pay the same rate for 96420?

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.

Related codes

Codes next to 96420

96413Physician and practitioner services (fee schedule) · 49 states96415Physician and practitioner services (fee schedule) · 49 states96416Physician and practitioner services (fee schedule) · 49 states96417Physician and practitioner services (fee schedule) · 48 states96422Physician and practitioner services (fee schedule) · 49 states96423Physician and practitioner services (fee schedule) · 49 states96425Physician and practitioner services (fee schedule) · 49 states96440Physician and practitioner services (fee schedule) · 49 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Alaska Medicaid fee scheduleAlabama Medicaid fee scheduleMontana Medicaid fee schedule