97750 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 31 state Medicaid programs publish a fee-for-service rate for 97750 at the physician psychologist level. Rates run from $11.50 in California to $52.09 in Nebraska, with a median of $25.95.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 31
- Median rate
- $25.95units vary by state
- Highest
- $52.09Nebraska
- Medicare (non-facility)
- $30.98–$43.352026 physician fee schedule
97750 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $52.09since 2026-07-01 | 15 min | $208.36 | Plans negotiate; applies out of network | 162% | Nebraska Medicaid fee schedule 471-000-5 |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $47.65since 2025-01-01 | 15 min | $190.60 | Plans must pay at least this | 148% | New Mexico Medicaid Fee for Service CPT |
| MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service) | $47.42since 2026-07-01 | 15 min | $189.68 | Not classified | 141% | Montana Healthcare Programs fee schedule |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $35.05since 2026-10-01 | 15 min | $140.20 | Plans negotiate; applies out of network | 106% | AHCCCS Arizona Health Care Cost Containm |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $31.71since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $29.22since 2026-07-01 | 15 min | $116.88 | Plans negotiate; applies out of network | 88% | DMAS procedure fee file cptmedical4.csv |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $28.62since 2026-07-01 | 15 min | $114.48 | Plans negotiate; applies out of network | 82% | Child Health Plan Plus FY 2026-2027 Fee |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $27.98since 2026-07-01 | 15 min | $111.92 | Plans must pay at least this | 90% | DOM Comprehensive Fee Schedule, Septembe |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $27.72since 2026-07-01 | 15 min | $110.88 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $27.31since 2026-02-01 | 15 min | $109.24 | Plans negotiate; applies out of network | 76–81% | OHP FFS medical-dental fee schedule (fee |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $27.09since 2026-01-01 | 15 min | $108.36 | Not classified | 77–79% | Maryland Medicaid Professional Services |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $27.00since 2019-09-01 | 15 min | $108.00 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $26.77since 2022-07-01 | 15 min | $107.08 | Paid by the state, outside plans | 82–85% | Louisiana Medicaid EPSDT Early Intervent |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $26.33since 2024-08-01 | 15 min | $105.32 | Paid by the state, outside plans | 83% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $25.98since 2026-02-01 | 15 min | $103.92 | Plans negotiate; applies out of network | 76% | MHCP Fee Schedule - Current Fee Schedule |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $25.95since 2026-10-01 | 15 min | $103.80 | Plans negotiate; applies out of network | 69–74% | Emergency Adoption (date filed: Septembe |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $25.31since 2022-07-01 | 15 min | $101.24 | Plans must pay at least this | 77–81% | MO HealthNet fee schedule: Podiatry |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $23.94since 2020-05-01 | 15 min | $95.76 | Plans must pay at least this | 75% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $23.27since 2026-01-01 | 15 min | $93.08 | Not classified | 70–72% | MaineCare Fee Schedule (MaineCare UCR, H |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $22.69since 2026-04-01 | 15 min | $90.76 | Plans negotiate; applies out of network | 72% | BMS RBRVS 2026 Effective 4/1/26 - 3/31/2 |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $22.11since 2008-07-01 | 15 min | $88.44 | Plans negotiate; applies out of network | 68% | ForwardHealth max fee schedule: Medical- |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $22.02since 2025-10-01 | 15 min | $88.08 | Plans must pay at least this | 68% | NC Medicaid fee schedule 'Physician Assi |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $21.74since 2024-04-01 | 15 min | $86.96 | Plans negotiate; applies out of network | 63–67% | HFS Practitioner Fee Schedule (effective |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $21.24since 2024-01-01 | 15 min | $84.96 | Plans negotiate; applies out of network | 66% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $21.23since 2026-01-01 | 15 min | $84.92 | Not classified | 60% | CMAP fee schedule: Physician Office and |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $20.98since 2017-01-01 | 15 min | $83.92 | Plans negotiate; applies out of network | 61–66% | Physician Maximum Allowed Fee Schedule - |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $20.64since 2026-07-01 | 15 min | $82.56 | Plans negotiate; applies out of network | 53–59% | HCA Habilitative services fee schedule ( |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $16.75since 2021-09-01 | 15 min | $67.00 | Plans negotiate; applies out of network | 48–52% | PA DHS PROMISe Outpatient Fee Schedule ( |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $16.66since 2025-06-13 | 15 min | $66.64 | Not classified | — | Arkansas Medicaid Physician / CRNA / Fam |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $11.88since 2026-01-01 | 15 min | $47.52 | Plans negotiate; applies out of network | 38% | KY Medicaid OT fee schedule (2026Occupat |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $11.50since 2026-10-01 | 15 min | $46.00 | Plans negotiate; applies out of network | 27–32% | Medi-Cal Rates (Rates files zip: rates_d |
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 97750?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $25.95. Nebraska pays the most ($52.09 per 15 min) and California the least ($11.50 per 15 min).
Which state pays the highest Medicaid rate for 97750?
Nebraska, at $52.09 per 15 min ($208.36 per hour), effective 2026-07-01.
How do Medicaid rates for 97750 compare with Medicare?
Where the billing units match, Medicaid pays between 30% and 162% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97750?
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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Track 97750 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.