97755 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 17 state Medicaid programs publish a fee-for-service rate for 97755 at the physician psychologist level. Rates run from $7.71 in Kansas to $3,510.00 in New Jersey, with a median of $28.71.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- Median rate
- $28.71per 15 min
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- $35.43–$42.512026 physician fee schedule
97755 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 |
|---|---|---|---|---|---|---|
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3,510.00⚠ over 3× mediansince 2025-12-01 | 15 min | $14,040.00 | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $39.30since 2026-10-01 | 15 min | $157.20 | Plans negotiate; applies out of network | 106% | AHCCCS Arizona Health Care Cost Containm |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $33.60since 2026-07-01 | 15 min | $134.40 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $32.04since 2026-07-01 | 15 min | $128.16 | Plans negotiate; applies out of network | 82% | Child Health Plan Plus FY 2026-2027 Fee |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $30.52since 2026-02-01 | 15 min | $122.08 | Plans negotiate; applies out of network | 77–81% | OHP FFS medical-dental fee schedule (fee |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $29.24since 2026-10-01 | 15 min | $116.96 | Plans negotiate; applies out of network | 70–75% | Emergency Adoption (date filed: Septembe |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $29.10since 2026-01-01 | 15 min | $116.40 | Not classified | 74–76% | Maryland Medicaid Professional Services |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $29.07since 2026-02-01 | 15 min | $116.28 | Plans negotiate; applies out of network | 77% | MHCP Fee Schedule - Current Fee Schedule |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $28.71since 2022-07-01 | 15 min | $114.84 | Plans must pay at least this | 78–81% | MO HealthNet fee schedule: Practitioner |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $28.53since 2024-01-01 | 15 min | $114.12 | Plans negotiate; applies out of network | 79% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $27.42since 2026-07-01 | 15 min | $109.68 | Plans negotiate; applies out of network | 76% | Nebraska Medicaid fee schedule 471-000-5 |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $27.04since 2021-09-01 | 15 min | $108.16 | Plans negotiate; applies out of network | 70–74% | PA DHS PROMISe Outpatient Fee Schedule ( |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $27.00since 2016-07-01 | 15 min | $108.00 | Not classified | 68% | CMAP fee schedule: Special Services 7/1/ |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $22.74since 2026-07-01 | 15 min | $90.96 | Plans negotiate; applies out of network | 53–59% | HCA Habilitative services fee schedule ( |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $20.33since 2026-01-01 | 15 min | $81.32 | Plans negotiate; applies out of network | 52–55% | Occupational Therapy Services Fee Schedu |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $13.45since 2026-01-01 | 15 min | $53.80 | Plans negotiate; applies out of network | 38% | KY Medicaid OT fee schedule (2026Occupat |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $7.71since 2009-12-18 | 15 min | $30.84 | Not classified | 21% | KMAP Fee Schedule QMB Medicaid (FeeSched |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 97755?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $28.71 per 15 min. New Jersey pays the most ($3,510.00 per 15 min) and Kansas the least ($7.71 per 15 min).
Which state pays the highest Medicaid rate for 97755?
New Jersey, at $3,510.00 per 15 min ($14,040.00 per hour), effective 2025-12-01.
How do Medicaid rates for 97755 compare with Medicare?
Where the billing units match, Medicaid pays between 21% and 106% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97755?
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.