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J7194 Medicaid reimbursement rate by state (2026)

Factor ix, complex, per i.u.. Medicaid pays a median of $1.74 for J7194 across 31 states, from $0.59 in New Jersey to $1.96 in Arkansas.

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

States publishing
31
National median
$1.74units vary by state
Lowest
$0.59New Jersey
Highest
$1.96Arkansas

What does Medicaid pay for J7194?

31 state Medicaid programs publish a fee-for-service rate for J7194 at the physician psychologist level. The national median is $1.74 (units differ between states). Arkansas pays the most, $1.96, and New Jersey the least, $0.59, a 3.3x spread.

J7194 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-06-13$1.96——Not classified—
2Utah Source · since 2026-07-01$1.96——Plans negotiate; applies out of network—
3Wyoming Source · since 2026-10-01$1.75——Not classified—
15Nebraska Source · since 2026-07-01$1.74——Plans negotiate; applies out of network—
16Virginia Source · since 2026-07-01$1.74——Plans negotiate; applies out of network—
17Connecticut Source · since 2026-01-01$1.70——Not classified—
30Minnesota Source · since 2026-07-01$1.18——Plans negotiate; applies out of network—
31New Jersey Source · since 2025-01-01$0.59——Not classified—
See all 31 states for J7194 — start free

23 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 J7194 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 J7194?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $1.74. Arkansas pays the most ($1.96) and New Jersey the least ($0.59).

Which state pays the highest Medicaid rate for J7194?

Arkansas, at $1.96, effective 2025-06-13.

Do managed-care plans pay the same rate for J7194?

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.