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D1558 Medicaid reimbursement rate by state (2026)

Dental services. Medicaid pays a median of $44.15 for D1558 across 28 states, from $23.68 in Nevada to $106.75 in Delaware.

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

States publishing
28
National median
$44.15units vary by state
Lowest
$23.68Nevada
Highest
$106.75Delaware

What does Medicaid pay for D1558?

28 state Medicaid programs publish a fee-for-service rate for D1558 at the physician psychologist level. The national median is $44.15 (units differ between states). Delaware pays the most, $106.75, and Nevada the least, $23.68, a 4.5x spread.

D1558 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 28 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-04-01$106.75——Not classified—
2Missouri Source · since 2022-07-01$79.20——Plans must pay at least this—
3New Jersey Source · since 2026-07-01$67.76——Not classified—
14Oregon Source · since 2026-01-01$44.82——Plans negotiate; applies out of network—
15Montana Source · since 2025-07-01$43.47——Not classified—
16Mississippi Source · since 2023-07-01$43.14——Plans must pay at least this—
27Iowa Source · since 2020-01-01$24.20——Plans must pay at least this—
28Nevada Source · since 2024-01-01$23.68——Plans must pay at least this—
See all 28 states for D1558 — start free

20 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 D1558 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 D1558?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $44.15. Delaware pays the most ($106.75) and Nevada the least ($23.68).

Which state pays the highest Medicaid rate for D1558?

Delaware, at $106.75, effective 2026-04-01.

Do managed-care plans pay the same rate for D1558?

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.