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Q4170 Medicaid reimbursement rates by state

Cygnus, per square centimeter (add-on. 13 state Medicaid programs publish a fee-for-service rate for Q4170 at the physician psychologist level. Rates run from $9.83 in Kansas to $131.94 in New Mexico, with a median of $52.79.

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

States publishing
13
Median rate
$52.79units vary by state
Highest
$131.94New Mexico
Medicare (non-facility)
$115.04–$183.512026 physician fee schedule

Q4170 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$131.94since 2024-10-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$131.93since 2024-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$127.28since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$127.14since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$81.15since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$52.79since 2024-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$50.55since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$46.16since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$46.16since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$39.31since 2025-10-01——Not classified—Montana Healthcare Programs fee schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$39.31since 2025-10-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$9.83since 2025-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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

Frequently asked questions

What does Medicaid pay for Q4170?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $52.79. New Mexico pays the most ($131.94) and Kansas the least ($9.83).

Which state pays the highest Medicaid rate for Q4170?

New Mexico, at $131.94, effective 2024-10-01.

Do managed-care plans pay the same rate for Q4170?

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 table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

Track Q4170 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state