99403 Medicaid reimbursement rates by state
Physician and practitioner services (fee schedule). 18 state Medicaid programs publish a fee-for-service rate for 99403 at the physician psychologist level. Rates run from $28.18 in Wisconsin to $78.95 in Connecticut, with a median of $54.62.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $54.62units vary by state
- Highest
- $78.95Connecticut
- Medicare (non-facility)
- —not on the physician fee schedule
99403 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 |
|---|---|---|---|---|---|---|
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $78.95since 2008-07-01 | — | — | Not classified | — | CMAP fee schedule: Clinic - Medical 4/1/ |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $74.53since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $70.83since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $68.48since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $67.05since 2019-07-01 | — | — | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $65.48since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ArizonaPhysician or licensed psychologist (incl. BCBA-D) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $64.92since 2024-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $62.34since 2021-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Physician fee schedule (2021 |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $56.23since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $53.01since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $48.48since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Practitioner Fee Schedule (2026-01-01) |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $45.46since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $45.41since 2025-07-01 | — | — | Plans must pay at least this | — | NJMMIS Procedure Master Listing CPTHCPCS |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $40.85since 2025-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Pharmacist Billing HI |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency) | $38.37since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $35.98since 2013-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #22 FAMILY PL |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $30.00since 2021-01-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $28.18since 2008-07-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
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 99403?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $54.62. Connecticut pays the most ($78.95) and Wisconsin the least ($28.18).
Which state pays the highest Medicaid rate for 99403?
Connecticut, at $78.95, effective 2008-07-01.
Do managed-care plans pay the same rate for 99403?
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) · 32 states10006Physician and practitioner services (fee schedule) · 32 states10007Physician and practitioner services (fee schedule) · 32 states10008Physician and practitioner services (fee schedule) · 32 states10009Physician and practitioner services (fee schedule) · 32 states10010Physician and practitioner services (fee schedule) · 32 states10021Physician and practitioner services (fee schedule) · 32 states10030Physician and practitioner services (fee schedule) · 32 states10060Physician and practitioner services (fee schedule) · 32 states10061Physician and practitioner services (fee schedule) · 32 states10080Physician and practitioner services (fee schedule) · 32 states10081Physician and practitioner services (fee schedule) · 32 states
Track 99403 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.