S9442 Medicaid reimbursement rates by state
Birthing classes, non-physician provider, per session. 5 state Medicaid programs publish a fee-for-service rate for S9442 at the physician psychologist level. Rates run from $6.00 in Virginia to $70.57 in Nebraska, with a median of $34.84.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $34.84units vary by state
- Highest
- $70.57Nebraska
- Medicare (non-facility)
- —not on the physician fee schedule
S9442 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 |
|---|---|---|---|---|---|---|
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $70.57since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $40.80since 2026-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $34.84since 2023-10-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Maternal Infant Health Program, Oc |
| North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service) | $8.43since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Physician Serv |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $6.00since 2003-06-20 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
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 S9442?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $34.84. Nebraska pays the most ($70.57) and Virginia the least ($6.00).
Which state pays the highest Medicaid rate for S9442?
Nebraska, at $70.57, effective 2026-07-01.
Do managed-care plans pay the same rate for S9442?
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.