North Dakota Medicaid behavioral health rates
North Dakota Medicaid pays $118.28 for outpatient psychotherapy and diagnostic evaluation delivered by a licensed mental health clinician, effective July 1, 2026, the 3rd highest of 30 states with comparable rates. Below: 5 more behavioral health rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Outpatient psychotherapy and diagnostic evaluation
- $118.28
- Rank among states
- 3 of 30+42.6% vs median
- Mental health counselor median wage
- $33.00BLS May 2025
- North Dakota minimum wage
- $7.25
North Dakota behavioral health rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Dakota's official fee schedule.
| Service | Provider level | Code | ND rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Mental health counseling | Licensed mental health clinician | Not published | $25.00 | $0.45 | $42.50 | 13 | ||||
| Outpatient psychotherapy and diagnostic evaluation | Licensed mental health clinician | 90846 | $118.28 | — | — | 3 of 30 | $82.95 | $0.01 | $302.03 | 30 |
| Mental health assessment (non-physician) | Physician or licensed psychologist | H0031 | $156.97 | per occurrence | — | — | $124.50 | $9.66 | $687.46 | 29 |
| Skills training and development | Physician or licensed psychologist | H2014 | $12.83 | 15 min | $51.32 | 15 of 33 | $51.20/hr | $8.60 | $139.64 | 33 |
| Therapeutic behavioral services | Physician or licensed psychologist | H2019 | $21.97 | 15 min | $87.88 | 15 of 29 | $87.88/hr | $16.80 | $825.88 | 29 |
| Mental health service plan development | Licensed mental health clinician | Not published | $30.34 | $0.01 | $338.84 | 20 | ||||
| Community-based wraparound services | Licensed mental health clinician | H2021 | $11.84 | 15 min | $47.36 | 10 of 13 | $90.48/hr | $6.28 | $3,451.36 | 13 |
| Psychiatric residential treatment (daily) | All levels | Not published | $525.10/day | $283.19 | $1,244.07 | 15 | ||||
| Inpatient psychiatric stay (per day) | All levels | $1,080.00 | day | — | 5 of 12 | $965.41/day | $287.00 | $1,345.00 | 12 | |
Outpatient psychotherapy and diagnostic evaluation: where North Dakota ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | California | $302.03 | — | — | 2026-07-01 |
| 2 | New Mexico | $144.88 | — | — | 2025-01-01 |
| 3 | North Dakota | $118.28 | — | — | 2026-07-01 |
| 4 | Nebraska | $115.68 | — | — | 2026-07-01 |
| 5 | Wisconsin | $95.02 | — | — | 2022-01-01 |
| 6 | South Dakota | $93.65 | — | — | 2026-06-01 |
| 7 | Mississippi | $93.38 | — | — | 2026-07-01 |
| 8 | Vermont | $89.18 | — | — | 2026-01-01 |
| 9 | Minnesota | $87.61 | — | — | 2026-02-01 |
| 10 | Idaho | $87.37 | — | — | 2026-07-01 |
| 11 | Delaware | $86.29 | — | — | 2026-01-01 |
| 12 | Texas | $85.32 | — | — | 2026-03-01 |
| 13 | Maryland | $85.29 | — | — | 2025-07-01 |
| 14 | North Carolina | $83.68 | — | — | 2025-10-01 |
| 15 | Colorado | $82.99 | — | — | 2026-07-01 |
| 16 | Hawaii | $82.90 | — | — | 2026-06-01 |
| 17 | Nevada | $81.42 | — | — | 2024-12-02 |
| 18 | Georgia | $80.92 | — | — | 2017-01-01 |
| 19 | Connecticut | $80.33 | — | — | 2026-01-01 |
| 20 | Alabama | $80.12 | — | — | 2025-12-01 |
| 21 | Arkansas | $77.27 | — | — | 2025-06-13 |
| 22 | Washington | $76.89 | — | — | 2026-07-01 |
| 23 | West Virginia | $75.15 | — | — | 2026-04-01 |
| 24 | Kansas | $73.68 | — | — | 2024-08-01 |
| 25 | Michigan | $69.15 | — | — | 2025-01-01 |
| 26 | Massachusetts | $63.68 | — | — | 2026-10-01 |
| 27 | Iowa | $58.46 | — | — | 2018-09-01 |
| 28 | Pennsylvania | $44.57 | — | — | 2016-10-31 |
| 29 | Missouri | $20.33 | — | — | 2022-07-01 |
| 30 | Rhode Island | $0.01 | — | — | 2016-01-01 |
What it costs to deliver in North Dakota
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | ND median | US median | vs US |
|---|---|---|---|
| Mental health counselor | $33.00 | $28.53 | +15.7% |
| Mental health social worker | $29.32 | $28.98 | +1.2% |
| Clinical psychologist | $55.83 | $48.36 | +15.4% |
| Psychiatrist | — | $135.51 | — |
| Nurse practitioner | $62.53 | $63.61 | -1.7% |
| Psychiatric technician | $19.21 | $21.70 | -11.5% |
Recent North Dakota behavioral health rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from North Dakota's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.