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99191 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 23 state Medicaid programs publish a fee-for-service rate for 99191 at the physician psychologist level. Rates run from $24.08 in Missouri to $350.97 in Nebraska, with a median of $59.17.

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

States publishing
23
Median rate
$59.17units vary by state
Highest
$350.97Nebraska
Medicare (non-facility)
—not on the physician fee schedule

99191 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$350.97⚠ 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)$334.89⚠ 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)$263.78⚠ 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)$261.72⚠ over 3× mediansince 2008-01-01——Not classified—CMAP fee schedule: Physician Office and
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$194.41⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$167.97since 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)$122.24since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$119.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$99.63since 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)$68.79since 1997-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$60.68since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$59.17since 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)$57.68since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$57.63since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$56.35since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$54.76since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$48.00since 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)$42.50since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$36.21since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$32.92since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$29.00since 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)$28.35since 1978-08-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$24.08since 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 99191?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $59.17. Nebraska pays the most ($350.97) and Missouri the least ($24.08).

Which state pays the highest Medicaid rate for 99191?

Nebraska, at $350.97, effective 2026-07-01.

Do managed-care plans pay the same rate for 99191?

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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