97803 Medicaid reimbursement rates by state
Nutrition counseling, follow-up visit. 28 state Medicaid programs publish a fee-for-service rate for 97803 at the dietitian level. Rates run from $3.56 in Arkansas to $44.53 in New Mexico, with a median of $23.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 28
- Median rate
- $23.24units vary by state
- Highest
- $44.53New Mexico
- Medicare (non-facility)
- $29.26–$40.462026 physician fee schedule
97803 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) | $44.53since 2025-01-01 | 15 min | $178.12 | Plans must pay at least this | 146% | New Mexico Medicaid Fee for Service CPT |
| NebraskaDietitian / nutritionist · Nebraska Medicaid (fee-for-service) | $28.88since 2026-07-01 | 15 min | $115.52 | Plans negotiate; applies out of network | 95% | Nebraska Medicaid fee schedule 471-000-5 |
| ArizonaDietitian / nutritionist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $28.65since 2021-10-01 | 15 min | $114.60 | Plans negotiate; applies out of network | 92% | AHCCCS Arizona Health Care Cost Containm |
| OklahomaDietitian / nutritionist · Oklahoma SoonerCare (fee-for-service, OHCA) | $28.00since 2026-07-01 | 15 min | $112.00 | Plans must pay at least this | 94% | SoonerCare Title XIX Fee Schedule |
| ColoradoDietitian / nutritionist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $27.52since 2026-07-01 | 15 min | $110.08 | Plans negotiate; applies out of network | 84% | Child Health Plan Plus FY 2026-2027 Fee |
| MarylandDietitian / nutritionist · Maryland Medicaid (fee-for-service, MDH) | $27.41since 2026-01-01 | 15 min | $109.64 | Not classified | 82–86% | Maryland Medicaid Professional Services |
| MissouriDietitian / nutritionist · Missouri MO HealthNet (fee-for-service) | $26.61since 2022-07-01 | 15 min | $106.44 | Plans must pay at least this | 86–90% | MO HealthNet fee schedule: Practitioner |
| CaliforniaDietitian / nutritionist · California Medi-Cal for children under 21 (EPSDT, fee-for-service) | $26.11since 2026-10-01 | 15 min | $104.44 | Plans negotiate; applies out of network | 65–78% | Medi-Cal Rates (Rates files zip: rates_d |
| OregonDietitian / nutritionist · Oregon Health Plan (fee-for-service, OHA) | $25.67since 2026-02-01 | 15 min | $102.68 | Plans negotiate; applies out of network | 76–81% | OHP FFS medical-dental fee schedule (fee |
| IndianaDietitian / nutritionist · Indiana Medicaid (fee-for-service) | $25.45since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| TexasDietitian / nutritionist · HHSC Family Planning Program (state-funded, not Medicaid) | $25.39since 2025-03-01 | 15 min | $101.56 | Not classified | 78–84% | TMHP Texas Medicaid Fee Schedule - Hhsc |
| LouisianaDietitian / nutritionist · Louisiana Medicaid (fee-for-service) | $25.23since 2025-07-01 | 15 min | $100.92 | Plans must pay at least this | 82–85% | Louisiana Medicaid Professional Services |
| MinnesotaDietitian / nutritionist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $24.44since 2026-02-01 | 15 min | $97.76 | Plans negotiate; applies out of network | 76% | MHCP Fee Schedule - Current Fee Schedule |
| GeorgiaDietitian / nutritionist · Georgia New Options Waiver (NOW) for people with IDD | $23.94since 2025-07-01 | month | — | Paid by the state, outside plans | — | New Options Waiver Program-Q3 July 2025 |
| New JerseyDietitian / nutritionist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $22.53since 2026-07-01 | 15 min | $90.12 | Not classified | 64–67% | NJMMIS Procedure Master Listing CPTHCPCS |
| ConnecticutDietitian / nutritionist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $22.34since 2025-07-01 | 15 min | $89.36 | Not classified | 67% | CMAP fee schedule: Clinic - Medical 4/1/ |
| KansasDietitian / nutritionist · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $21.80since 2024-08-01 | 15 min | $87.20 | Paid by the state, outside plans | 73% | KMAP Fee Schedule MKN Medicaid (FeeSched |
| New YorkDietitian / nutritionist · New York Medicaid (fee-for-service) | $21.74since 2024-01-01 | 15 min | $86.96 | Not classified | 60–71% | eMedNY NYS Medicaid Medical Nutritional |
| North CarolinaDietitian / nutritionist · North Carolina Medicaid Direct (fee-for-service) | $21.44since 2025-10-01 | 15 min | $85.76 | Paid by the state, outside plans | 70% | NC Medicaid fee schedule 'Children Devel |
| South CarolinaDietitian / nutritionist · South Carolina Healthy Connections Medicaid (fee-for-service) | $21.05since 2024-07-01 | 15 min | $84.20 | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| MassachusettsDietitian / nutritionist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $20.59since 2026-10-01 | 15 min | $82.36 | Plans negotiate; applies out of network | 58–63% | Emergency Adoption (date filed: Septembe |
| NevadaDietitian / nutritionist · Nevada HCBS Waiver for Individuals with Intellectual and Developmental Disabilities (provider type 38, fee-for-service) | $19.63since 2023-07-01 | 15 min | $78.52 | Paid by the state, outside plans | 62% | Provider Type 38, Waiver for Individuals |
| VirginiaDietitian / nutritionist · Virginia Medicaid (fee-for-service, DMAS) | $19.10since 2026-07-01 | 15 min | $76.40 | Plans negotiate; applies out of network | 61% | DMAS procedure fee file cptmedical4.csv |
| OhioDietitian / nutritionist · Ohio Medicaid (fee-for-service) | $16.06since 2024-01-01 | 15 min | $64.24 | Plans negotiate; applies out of network | 53% | Appendix DD to OAC 5160-1-60 (Non-Instit |
| 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 | 48% | Iowa Medicaid fee schedule #38 CERTIFIED |
| WashingtonDietitian / nutritionist · Washington Apple Health (Medicaid) fee-for-service | $13.19since 2026-07-01 | 15 min | $52.76 | Plans negotiate; applies out of network | 36–40% | HCA Medical nutrition therapy fee schedu |
| 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 | 40% | KY Medicaid Physician fee schedule (2020 |
| ArkansasDietitian / nutritionist · Arkansas Medicaid (fee-for-service) | $3.56since 2022-10-20 | 15 min | $14.24 | Not classified | 12% | 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 97803?
It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $23.24. New Mexico pays the most ($44.53 per 15 min) and Arkansas the least ($3.56 per 15 min).
Which state pays the highest Medicaid rate for 97803?
New Mexico, at $44.53 per 15 min ($178.12 per hour), effective 2025-01-01.
How do Medicaid rates for 97803 compare with Medicare?
Where the billing units match, Medicaid pays between 12% and 146% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 97803?
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 Therapy (PT/OT/speech) codes
92507Speech therapy session (one person) · 35 states92521Stuttering evaluation · 35 states92522Articulation evaluation · 35 states92523Articulation and language evaluation · 35 states92524Voice evaluation · 35 states92610Swallowing assessment · 35 states97110Exercise therapy for strength and range of motion · 34 states97163Physical therapy evaluation, level 3 of 3 · 34 states97167Occupational therapy evaluation, level 3 of 3 · 34 states97530Functional activity training · 34 states92526Swallowing and feeding therapy · 33 states97161Physical therapy evaluation, level 1 of 3 · 33 states
Track 97803 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.