99454 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $39.82 for 99454 across 32 states, from $14.58 in Kansas to $73.24 in Montana.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 32
- National median
- $39.82units vary by state
- Lowest
- $14.58Kansas
- Highest
- $73.24Montana
What does Medicaid pay for 99454?
32 state Medicaid programs publish a fee-for-service rate for 99454 at the physician psychologist level. The national median is $39.82 (units differ between states). Montana pays the most, $73.24, and Kansas the least, $14.58, a 5.0x spread. Where the billing unit matches Medicare's, Medicaid pays between 58% and 58% of the 2026 Medicare physician fee schedule amount for the state.
Medicare (non-facility, 2026 physician fee schedule): $44.64–$74.83 depending on the state's Medicare locality.
99454 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99454?
It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $39.82. Montana pays the most ($73.24) and Kansas the least ($14.58).
Which state pays the highest Medicaid rate for 99454?
Montana, at $73.24, effective 2026-07-01.
How do Medicaid rates for 99454 compare with Medicare?
Where the billing units match, Medicaid pays between 58% and 58% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 99454?
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 workspace shows the rule for each state, cited to the contract or statute.