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Billing code H1011 · Physician & professional

H1011 Medicaid reimbursement rate by state (2026)

Family assessment by licensed behavioral health professional.... Medicaid pays a median of $88.88 for H1011 across 6 states, from $32.71 in Nevada to $388.06 in Oregon.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$88.88units vary by state
Lowest
$32.71Nevada
Highest
$388.06Oregon
Answer

What does Medicaid pay for H1011?

6 state Medicaid programs publish a fee-for-service rate for H1011. The national median is $88.88 (units differ between states). Oregon pays the most, $388.06, and Nevada the least, $32.71, a 11.9x spread.

State ranking

H1011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2026-01-01$388.06——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$105.81——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$92.46——Plans negotiate; applies out of network—
6Nevada Source · since 2024-01-01$32.71——Plans negotiate; applies out of network—
See all 6 states for H1011 — start free

2 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.

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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 H1011 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for H1011?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $88.88. Oregon pays the most ($388.06) and Nevada the least ($32.71).

Which state pays the highest Medicaid rate for H1011?

Oregon, at $388.06, effective 2026-01-01.

Do managed-care plans pay the same rate for H1011?

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.