S2079 Medicaid reimbursement rates by state
Laparoscopic esophagomyotomy (heller type). 5 state Medicaid programs publish a fee-for-service rate for S2079 at the physician psychologist level. Rates run from $110.84 in Pennsylvania to $1,030.19 in Texas, with a median of $801.19.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $801.19units vary by state
- Highest
- $1,030.19Texas
- Medicare (non-facility)
- —not on the physician fee schedule
S2079 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $1,030.19since 2025-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $906.89since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $801.19since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $337.42since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service) | $110.84since 2007-01-02 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
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 S2079?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $801.19. Texas pays the most ($1,030.19) and Pennsylvania the least ($110.84).
Which state pays the highest Medicaid rate for S2079?
Texas, at $1,030.19, effective 2025-09-01.
Do managed-care plans pay the same rate for S2079?
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.