99374 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 7 state Medicaid programs publish a fee-for-service rate for 99374 at the physician psychologist level. Rates run from $33.97 in Virginia to $66.49 in Alabama, with a median of $44.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $44.24units vary by state
- Highest
- $66.49Alabama
- Medicare (non-facility)
- —not on the physician fee schedule
99374 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $66.49since 2016-10-01 | — | — | Not classified | — | Physician Alabama Primary Care Enhanced |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $57.33since 2023-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $45.29since 2013-02-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| ArizonaAgency provider · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $44.24since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| ConnecticutAgency provider · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $40.31since 2008-01-01 | — | — | Not classified | — | CMAP fee schedule: Physician Office and |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $39.85since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $33.97since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
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 99374?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $44.24. Alabama pays the most ($66.49) and Virginia the least ($33.97).
Which state pays the highest Medicaid rate for 99374?
Alabama, at $66.49, effective 2016-10-01.
Do managed-care plans pay the same rate for 99374?
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.