97802 Medicaid reimbursement rates by state
Nutrition counseling, first visit. 33 state Medicaid programs publish a fee-for-service rate for 97802 at the dietitian level. Rates run from $3.56 in Arkansas to $51.14 in New Mexico, with a median of $26.57.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 33
- Median rate
- $26.57units vary by state
- Highest
- $51.14New Mexico
- Medicare (non-facility)
- $33.94–$46.802026 physician fee schedule
97802 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 MexicoDietitian / nutritionist · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $51.14since 2025-01-01 | 15 min | $204.56 | Plans must pay at least this | 145% | New Mexico Medicaid Fee for Service CPT |
| NebraskaDietitian / nutritionist · Nebraska Medicaid (fee-for-service) | $34.92since 2026-07-01 | 15 min | $139.68 | Plans negotiate; applies out of network | 100% | Nebraska Medicaid fee schedule 471-000-5 |
| ArizonaDietitian / nutritionist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $33.73since 2021-10-01 | 15 min | $134.92 | Plans negotiate; applies out of network | 93% | AHCCCS Arizona Health Care Cost Containm |
| OklahomaDietitian / nutritionist · Oklahoma SoonerCare (fee-for-service, OHCA) | $32.46since 2026-07-01 | 15 min | $129.84 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| ColoradoDietitian / nutritionist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $32.31since 2026-07-01 | 15 min | $129.24 | Plans negotiate; applies out of network | 85% | Child Health Plan Plus FY 2026-2027 Fee |
| MontanaDietitian / nutritionist · Montana Medicaid and HMK Plus (fee-for-service) | $31.63since 2026-07-01 | 15 min | $126.52 | Not classified | 86% | Montana Healthcare Programs fee schedule |
| MarylandDietitian / nutritionist · Maryland Medicaid (fee-for-service, MDH) | $31.13since 2026-01-01 | 15 min | $124.52 | Not classified | 81–84% | Maryland Medicaid Professional Services |
| MississippiDietitian / nutritionist · Mississippi Medicaid (fee-for-service) | $30.65since 2026-07-01 | 15 min | $122.60 | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| TexasRegistered nurse (RN) · Texas Medicaid (fee-for-service, TMHP) | $30.59since 2025-03-01 | 15 min | $122.36 | Plans negotiate; applies out of network | 81–87% | TMHP Texas Medicaid Fee Schedule - Thste |
| MissouriDietitian / nutritionist · Missouri MO HealthNet (fee-for-service) | $30.59since 2022-07-01 | 15 min | $122.36 | Plans must pay at least this | 85–90% | MO HealthNet fee schedule: Practitioner |
| CaliforniaDietitian / nutritionist · California Medi-Cal (fee-for-service) | $30.35since 2026-10-01 | 15 min | $121.40 | Plans negotiate; applies out of network | 65–78% | Medi-Cal Rates (Rates files zip: rates_d |
| IndianaDietitian / nutritionist · Indiana Medicaid (fee-for-service) | $30.12since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OregonDietitian / nutritionist · Oregon Health Plan (fee-for-service, OHA) | $29.73since 2026-02-01 | 15 min | $118.92 | Plans negotiate; applies out of network | 76–81% | OHP FFS medical-dental fee schedule (fee |
| LouisianaDietitian / nutritionist · Louisiana Medicaid (fee-for-service) | $28.99since 2025-07-01 | 15 min | $115.96 | Plans must pay at least this | 81–84% | Louisiana Medicaid Professional Services |
| MinnesotaDietitian / nutritionist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $28.30since 2026-02-01 | 15 min | $113.20 | Plans negotiate; applies out of network | 76% | MHCP Fee Schedule - Current Fee Schedule |
| GeorgiaDietitian / nutritionist · Georgia Medicaid (fee-for-service) | $28.09since 2026-10-01 | 15 min | $112.36 | Plans negotiate; applies out of network | — | Part II Policies and Procedures for Chil |
| NevadaDietitian / nutritionist · Nevada HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (provider type 38, fee-for-service) | $26.57since 2023-07-01 | 15 min | $106.28 | Paid by the state, outside plans | — | Provider Type 38, Waiver for Individuals |
| New JerseyDietitian / nutritionist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $26.07since 2026-07-01 | 15 min | $104.28 | Not classified | 64–67% | NJMMIS Procedure Master Listing CPTHCPCS |
| ConnecticutDietitian / nutritionist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $25.61since 2025-07-01 | 15 min | $102.44 | Not classified | 66% | CMAP fee schedule: Clinic - Medical 4/1/ |
| MaineDietitian / nutritionist · MaineCare (fee-for-service) | $25.43since 2026-01-01 | 15 min | $101.72 | Not classified | 70–72% | MaineCare Fee Schedule (MaineCare UCR, H |
| New YorkDietitian / nutritionist · New York Medicaid (fee-for-service) | $25.04since 2024-01-01 | 15 min | $100.16 | Not classified | 60–70% | eMedNY NYS Medicaid Medical Nutritional |
| West VirginiaDietitian / nutritionist · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $24.89since 2026-04-01 | 15 min | $99.56 | Plans negotiate; applies out of network | 72% | BMS RBRVS 2026 Effective 4/1/26 - 3/31/2 |
| North CarolinaDietitian / nutritionist · North Carolina Medicaid Direct (fee-for-service) | $24.51since 2025-10-01 | 15 min | $98.04 | Paid by the state, outside plans | 69% | NC Medicaid fee schedule 'Children Devel |
| MassachusettsDietitian / nutritionist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $24.43since 2026-10-01 | 15 min | $97.72 | Plans negotiate; applies out of network | 59–64% | Emergency Adoption (date filed: Septembe |
| South CarolinaDietitian / nutritionist · South Carolina Healthy Connections Medicaid (fee-for-service) | $24.19since 2024-07-01 | 15 min | $96.76 | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| KansasDietitian / nutritionist · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $23.11since 2024-08-01 | 15 min | $92.44 | Paid by the state, outside plans | 66% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| VirginiaDietitian / nutritionist · Virginia Medicaid (fee-for-service, DMAS) | $22.86since 2026-07-01 | 15 min | $91.44 | Plans negotiate; applies out of network | 63% | DMAS procedure fee file cptmedical4.csv |
| OhioDietitian / nutritionist · Ohio Medicaid (fee-for-service) | $18.77since 2024-01-01 | 15 min | $75.08 | Plans negotiate; applies out of network | 53% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| WashingtonDietitian / nutritionist · Washington Apple Health (Medicaid) fee-for-service | $15.86since 2026-07-01 | 15 min | $63.44 | Plans negotiate; applies out of network | 38–42% | HCA Medical nutrition therapy fee schedu |
| IowaDietitian / nutritionist · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $14.41since 2024-07-01 | 15 min | $57.64 | Plans must pay at least this | 41% | Iowa Medicaid fee schedule #38 CERTIFIED |
| KentuckyDietitian / nutritionist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $11.87since 2020-01-01 | 15 min | $47.48 | Plans negotiate; applies out of network | 34% | KY Medicaid Physician fee schedule (2020 |
| FloridaDietitian / nutritionist · Florida iBudget waiver for people with developmental disabilities (APD) | $11.63since 2026-07-01 | 15 min | $46.52 | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| ArkansasDietitian / nutritionist · Arkansas Medicaid (fee-for-service) | $3.56since 2022-10-20 | 15 min | $14.24 | Not classified | 10% | Arkansas Medicaid Early Intervention Day |
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 97802?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $26.57. New Mexico pays the most ($51.14 per 15 min) and Arkansas the least ($3.56 per 15 min).
Which state pays the highest Medicaid rate for 97802?
New Mexico, at $51.14 per 15 min ($204.56 per hour), effective 2025-01-01.
How do Medicaid rates for 97802 compare with Medicare?
Where the billing units match, Medicaid pays between 10% and 145% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97802?
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 97802 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.