97760 Medicaid reimbursement rates by state
Brace fitting and training. 40 state Medicaid programs publish a fee-for-service rate for 97760 at the physician psychologist level. Rates run from $16.07 in Kentucky to $66.50 in Alaska, with a median of $37.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 40
- Median rate
- $37.06units vary by state
- Highest
- $66.50Alaska
- Medicare (non-facility)
- $41.97–$56.182026 physician fee schedule
97760 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 |
|---|---|---|---|---|---|---|
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health) | $66.50since 2026-07-01 | 15 min | $266.00 | Not classified | 118% | Alaska Medicaid Therapy Fee Schedule SFY |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $66.16since 2025-01-01 | 15 min | $264.64 | Plans must pay at least this | 151% | New Mexico Medicaid Fee for Service CPT |
| MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service) | $64.79since 2026-07-01 | 15 min | $259.16 | Not classified | 141% | Montana Healthcare Programs fee schedule |
| North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service) | $51.44since 2026-07-01 | 15 min | $205.76 | Not classified | 112% | ND Medicaid Professional (General) Servi |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $50.18since 2026-06-01 | 15 min | $200.72 | Plans negotiate; applies out of network | 101% | Medicaid Fee-For-Service (FFS) Fee Sched |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $47.80since 2026-10-01 | 15 min | $191.20 | Plans negotiate; applies out of network | 106% | AHCCCS Arizona Health Care Cost Containm |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $44.27since 2026-07-01 | 15 min | $177.08 | Not classified | 97% | South Dakota Medicaid Physician fee sche |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $43.47since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service | $41.77since 2026-01-01 | 15 min | $167.08 | Not classified | 80% | REFRP00178CSV - Medical Fee Schedule Rep |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $41.72since 2026-10-01 | 15 min | $166.88 | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Chil |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $41.27since 2026-07-01 | 15 min | $165.08 | Not classified | 90% | Wyoming Medicaid Downloadable Fee Schedu |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $40.57since 2026-07-01 | 15 min | $162.28 | Plans negotiate; applies out of network | 93% | Nebraska Medicaid fee schedule 471-000-5 |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $40.18since 2026-07-01 | 15 min | $160.72 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $39.93since 2026-07-01 | 15 min | $159.72 | 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) | $39.62since 2026-07-01 | 15 min | $158.48 | Plans negotiate; applies out of network | 82% | Child Health Plan Plus FY 2026-2027 Fee |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $38.91since 2026-01-01 | 15 min | $155.64 | Not classified | 85% | Vermont Medicaid Fee Schedule - CPT Code |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $37.77since 2026-07-01 | 15 min | $151.08 | 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) | $37.66since 2026-07-01 | 15 min | $150.64 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $37.43since 2025-06-06 | 15 min | $149.72 | Plans negotiate; applies out of network | 71–78% | Rates for Restorative Services (effectiv |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $37.38since 2026-02-01 | 15 min | $149.52 | Plans negotiate; applies out of network | 76–81% | OHP FFS medical-dental fee schedule (fee |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $36.74since 2022-07-01 | 15 min | $146.96 | Plans must pay at least this | 82–87% | MO HealthNet fee schedule: Practitioner |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $35.76since 2026-02-01 | 15 min | $143.04 | Plans negotiate; applies out of network | 77% | MHCP Fee Schedule - Current Fee Schedule |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $34.79since 2026-07-01 | 15 min | $139.16 | Plans negotiate; applies out of network | 78% | Utah Medicaid Coverage and Reimbursement |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $34.47since 2024-01-01 | 15 min | $137.88 | Plans negotiate; applies out of network | 79% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP) | $34.03since 2025-01-01 | 15 min | $136.12 | Not classified | 74% | DMAP 2025 Physician Fee Schedule |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $31.60since 2026-01-01 | 15 min | $126.40 | Not classified | 69–72% | MaineCare Fee Schedule (MaineCare UCR, H |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $29.39since 2026-01-01 | 15 min | $117.56 | Plans negotiate; applies out of network | 65–67% | MDHHS Occupational Therapy Fee Schedule |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $28.28since 2026-07-01 | 15 min | $113.12 | Plans negotiate; applies out of network | 53–59% | HCA Habilitative services fee schedule ( |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $27.69since 2019-09-01 | 15 min | $110.76 | 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 | 60–63% | Louisiana Medicaid EPSDT Early Intervent |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $25.85since 2018-01-01 | 15 min | $103.40 | Plans negotiate; applies out of network | 58% | ForwardHealth max fee schedule: Therapy- |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $25.79since 2026-01-01 | 15 min | $103.16 | Not classified | 53% | CMAP fee schedule: Independent Physical |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $25.20since 2015-07-01 | 15 min | $100.80 | Plans must pay at least this | 55% | Provider Type 77 Physician's Assistant R |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $24.39since 2011-07-11 | 15 min | $97.56 | Not classified | 56% | SCDHHS Base Physician Fee Schedule (sche |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $24.33since 2025-10-01 | 15 min | $97.32 | Plans must pay at least this | 55% | NC Medicaid fee schedule 'Physician Assi |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $23.83since 2009-12-18 | 15 min | $95.32 | Paid by the state, outside plans | 55% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $23.30since 2020-05-01 | 15 min | $93.20 | Plans must pay at least this | 54% | Iowa Medicaid fee schedule #02 PHYSICIAN |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $19.66since 2023-07-01 | 15 min | $78.64 | Plans negotiate; applies out of network | 42% | 2026 Fee Schedule - Covered Procedures R |
| Rhode IslandOccupational therapist · Rhode Island Medicaid (fee-for-service) | $16.92since 2006-01-01 | 15 min | $67.68 | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $16.07since 2026-01-01 | 15 min | $64.28 | Plans negotiate; applies out of network | 38% | KY Medicaid OT fee schedule (2026Occupat |
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 97760?
It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $37.06. Alaska pays the most ($66.50 per 15 min) and Kentucky the least ($16.07 per 15 min).
Which state pays the highest Medicaid rate for 97760?
Alaska, at $66.50 per 15 min ($266.00 per hour), effective 2026-07-01.
How do Medicaid rates for 97760 compare with Medicare?
Where the billing units match, Medicaid pays between 38% and 151% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97760?
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 97760 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.