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96933 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 18 state Medicaid programs publish a fee-for-service rate for 96933 at the physician psychologist level. Rates run from $18.01 in New Jersey to $61.09 in New Mexico, with a median of $35.82.

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

States publishing
18
Median rate
$35.82units vary by state
Highest
$61.09New Mexico
Medicare (non-facility)
$40.20–$46.202026 physician fee schedule

96933 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$61.09since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$43.91since 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$43.52since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$41.09since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$37.67since 2024-02-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$36.91since 2019-07-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$36.77since 2018-12-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$36.63since 2026-01-01——Not classified—Maryland Medicaid Professional Services
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$36.19since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$35.45since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$32.71since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$32.43since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$32.16since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$29.04since 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)$26.84since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$25.17since 2025-04-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$22.98since 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)$18.01since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 96933?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $35.82. New Mexico pays the most ($61.09) and New Jersey the least ($18.01).

Which state pays the highest Medicaid rate for 96933?

New Mexico, at $61.09, effective 2025-01-01.

Do managed-care plans pay the same rate for 96933?

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

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