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99190 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 23 state Medicaid programs publish a fee-for-service rate for 99190 at the physician psychologist level. Rates run from $32.09 in Missouri to $641.24 in Colorado, with a median of $92.88.

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

States publishing
23
Median rate
$92.88units vary by state
Highest
$641.24Colorado
Medicare (non-facility)
—not on the physician fee schedule

99190 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$641.24⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$471.62⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$446.53⚠ over 3× mediansince 2022-01-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$354.48⚠ over 3× mediansince 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$349.24⚠ over 3× mediansince 2008-01-01——Not classified—CMAP fee schedule: Physician Office and
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$265.10since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$225.83since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$163.00since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$97.72since 2020-10-01——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)$94.31since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$93.26since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$92.88since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$89.74since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$88.74since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$87.54since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$78.49since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$68.79since 1994-05-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$64.00since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$56.67since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$38.00since 2014-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$36.75since 1978-08-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$32.85since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$32.09since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 99190?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $92.88. Colorado pays the most ($641.24) and Missouri the least ($32.09).

Which state pays the highest Medicaid rate for 99190?

Colorado, at $641.24, effective 2026-07-01.

Do managed-care plans pay the same rate for 99190?

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

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Medicaid rates by state
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