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99151 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 33 state Medicaid programs publish a fee-for-service rate for 99151 at the physician psychologist level. Rates run from $10.51 in New Jersey to $86.32 in Arkansas, with a median of $48.11.

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

States publishing
33
Median rate
$48.11units vary by state
Highest
$86.32Arkansas
Medicare (non-facility)
$55.38–$83.132026 physician fee schedule

99151 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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$86.32since 2025-05-15——Not classified—Arkansas Medicaid Oral Surgeon Fee Sched
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$83.82since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$69.63since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$68.63since 2017-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$62.90since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$62.54since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$58.40since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$57.99since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$53.78since 2017-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$53.51since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$53.45since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$53.16since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$50.43since 2017-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$50.31since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$50.00since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$48.49since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$48.11since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$46.22since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$39.62since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$39.58since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$35.86since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$22.01since 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)$21.95since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$20.38since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$20.01since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$19.66since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$19.02since 2017-08-07——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$18.23since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$16.37since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$15.73since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$13.70since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$12.42since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$10.51since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 99151?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $48.11. Arkansas pays the most ($86.32) and New Jersey the least ($10.51).

Which state pays the highest Medicaid rate for 99151?

Arkansas, at $86.32, effective 2025-05-15.

Do managed-care plans pay the same rate for 99151?

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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Medicaid rates by state
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