MedicaidRateStart free trial

99170 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 39 state Medicaid programs publish a fee-for-service rate for 99170 at the physician psychologist level. Rates run from $42.23 in Washington to $242.02 in Alabama, with a median of $113.45.

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

States publishing
39
Median rate
$113.45units vary by state
Highest
$242.02Alabama
Medicare (non-facility)
$149.90–$218.172026 physician fee schedule

99170 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
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$242.02since 2026-09-24——Not classified—Teaching Facility Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$233.81since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$171.58since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$162.33since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$145.16since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$144.47since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$144.40since 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)$136.15since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$135.00since 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)$134.87since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$133.85since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$131.44since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$129.63since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$128.65since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$125.33since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$122.43since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$122.18since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$118.70since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$113.94since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$113.45since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$111.51since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$106.07since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$105.83since 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)$102.55since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$100.19since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$89.48since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$86.68since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$82.38since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$79.60since 2017-01-01——Plans negotiate; applies out of network—OutPatient Max Allowed Site of Service F
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$78.49since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$77.43since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$76.28since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$75.96since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$75.42since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$70.45since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$63.48since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$62.21since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$57.31since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$42.23since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 99170?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $113.45. Alabama pays the most ($242.02) and Washington the least ($42.23).

Which state pays the highest Medicaid rate for 99170?

Alabama, at $242.02, effective 2026-09-24.

Do managed-care plans pay the same rate for 99170?

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 Physician & professional codes

10005Physician and practitioner services (fee schedule) · 45 states10006Physician and practitioner services (fee schedule) · 45 states10007Physician and practitioner services (fee schedule) · 45 states10008Physician and practitioner services (fee schedule) · 45 states10009Physician and practitioner services (fee schedule) · 45 states10010Physician and practitioner services (fee schedule) · 45 states10021Physician and practitioner services (fee schedule) · 45 states10030Physician and practitioner services (fee schedule) · 45 states10060Physician and practitioner services (fee schedule) · 45 states10061Physician and practitioner services (fee schedule) · 45 states10080Physician and practitioner services (fee schedule) · 45 states10081Physician and practitioner services (fee schedule) · 45 states
Track 99170 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin