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96571 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 39 state Medicaid programs publish a fee-for-service rate for 96571 at the physician psychologist level. Rates run from $6.35 in Kansas to $41.59 in Alabama, with a median of $22.89.

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

States publishing
39
Median rate
$22.89units vary by state
Highest
$41.59Alabama
Medicare (non-facility)
$24.97–$30.592026 physician fee schedule

96571 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$41.59since 2026-09-24——Not classified—Teaching Facility Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$40.62since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$37.83since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$37.56since 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)$36.01since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$35.85since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$32.12since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$30.57since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$28.22since 2025-03-26——Not classified—Arkansas Medicaid Independent Laboratory
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$26.80since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$26.03since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$24.43since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$24.09since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$24.00since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$23.54since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$23.53since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$23.47since 2013-09-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$23.15since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$22.98since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$22.89since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$22.82since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$22.52since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$22.35since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$21.93since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$21.87since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$21.70since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$21.22since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$20.09since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$19.81since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$19.78since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$19.53since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$19.03since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$18.51since 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)$18.28since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$17.23since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$17.04since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$13.39since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$11.40since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$6.35since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 96571?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $22.89. Alabama pays the most ($41.59) and Kansas the least ($6.35).

Which state pays the highest Medicaid rate for 96571?

Alabama, at $41.59, effective 2026-09-24.

Do managed-care plans pay the same rate for 96571?

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.

Related Physician & professional codes

Track 96571 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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