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99459 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $17.37 for 99459 across 35 states, from $11.08 in Michigan to $31.43 in Alabama.

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

States publishing
35
National median
$17.37units vary by state
Lowest
$11.08Michigan
Highest
$31.43Alabama

What does Medicaid pay for 99459?

35 state Medicaid programs publish a fee-for-service rate for 99459 at the physician psychologist level. The national median is $17.37 (units differ between states). Alabama pays the most, $31.43, and Michigan the least, $11.08, a 2.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $14.97–$20.74 depending on the state's Medicare locality.

99459 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2026-09-24$31.43——Not classified—
2New Mexico Source · since 2025-01-01$30.33——Plans must pay at least this—
3Montana Source · since 2026-07-01$24.41——Not classified—
17Connecticut Source · since 2026-01-01$17.62——Not classified—
18South Dakota Source · since 2026-07-01$17.37——Not classified—
19Kansas Source · since 2025-04-01$17.14——Plans must pay at least this—
34Maine Source · since 2026-01-01$11.57——Not classified—
35Michigan Source · since 2026-01-01$11.08——Plans negotiate; applies out of network—
See all 35 states for 99459 — start free

27 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 99459 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 99459?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $17.37. Alabama pays the most ($31.43) and Michigan the least ($11.08).

Which state pays the highest Medicaid rate for 99459?

Alabama, at $31.43, effective 2026-09-24.

Do managed-care plans pay the same rate for 99459?

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.