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98927 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 39 state Medicaid programs publish a fee-for-service rate for 98927 at the physician psychologist level. Rates run from $11.54 in Kansas to $85.45 in Montana, with a median of $42.14.

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

States publishing
39
Median rate
$42.14units vary by state
Highest
$85.45Montana
Medicare (non-facility)
$55.96–$69.692026 physician fee schedule

98927 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$85.45since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$83.48since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$59.21since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$54.34since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$53.76since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$51.82since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$50.98since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$50.81since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$50.65since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$49.72since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$48.82since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$47.79since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$47.49since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$46.70since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$46.31since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$45.95since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$45.34since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$43.80since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$42.57since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$42.14since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$41.97since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$41.88since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$39.55since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$38.77since 2026-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$38.45since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$38.40since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$36.45since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$36.31since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$35.67since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$34.72since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$33.68since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$31.48since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$31.35since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$30.28since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$26.63since 1996-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$26.28since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$23.53since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$23.51since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$11.54since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 98927?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $42.14. Montana pays the most ($85.45) and Kansas the least ($11.54).

Which state pays the highest Medicaid rate for 98927?

Montana, at $85.45, effective 2026-07-01.

Do managed-care plans pay the same rate for 98927?

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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