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98011 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $134.86 for 98011 across 14 states, from $98.78 in Virginia to $238.51 in Montana.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
14
National median
$134.86units vary by state
Lowest
$98.78Virginia
Highest
$238.51Montana

What does Medicaid pay for 98011?

14 state Medicaid programs publish a fee-for-service rate for 98011 at the physician psychologist level. The national median is $134.86 (units differ between states). Montana pays the most, $238.51, and Virginia the least, $98.78, a 2.4x spread.

98011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$238.51——Not classified—
2Vermont Source · since 2026-01-01$195.56——Not classified—
3North Dakota Source · since 2026-07-01$186.24——Not classified—
7Kentucky Source · since 2025-01-01$135.67——Plans negotiate; applies out of network—
8Colorado Source · since 2026-07-01$134.05——Plans negotiate; applies out of network—
9Minnesota Source · since 2026-02-01$130.67——Plans negotiate; applies out of network—
13Wisconsin Source · since 2025-01-01$108.68——Plans negotiate; applies out of network—
14Virginia Source · since 2026-07-01$98.78——Plans negotiate; applies out of network—
See all 14 states for 98011 — start free

6 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 98011 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 98011?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $134.86. Montana pays the most ($238.51) and Virginia the least ($98.78).

Which state pays the highest Medicaid rate for 98011?

Montana, at $238.51, effective 2026-07-01.

Do managed-care plans pay the same rate for 98011?

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 workspace shows the rule for each state, cited to the contract or statute.