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99411 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 8 state Medicaid programs publish a fee-for-service rate for 99411 at the physician psychologist level. Rates run from $5.48 in Massachusetts to $18.79 in California, with a median of $15.36.

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

States publishing
8
Median rate
$15.36units vary by state
Highest
$18.79California
Medicare (non-facility)
—not on the physician fee schedule

99411 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency)$18.79since 2026-10-01——Paid by the state, outside plans—Medi-Cal Rates (Rates files zip: rates_d
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$16.50since 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)$16.00since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$15.93since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$14.79since 2021-01-01——Plans negotiate; applies out of network—KY Medicaid Preventive fee schedule (202
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$10.46since 2008-01-01——Not classified—CMAP fee schedule: Clinic - Medical 4/1/
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$6.05since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$5.48since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe

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 99411?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $15.36. California pays the most ($18.79) and Massachusetts the least ($5.48).

Which state pays the highest Medicaid rate for 99411?

California, at $18.79, effective 2026-10-01.

Do managed-care plans pay the same rate for 99411?

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

Track 99411 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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