Addiction (substance use) counseling: Medicaid rates by state
14 states publish a Medicaid rate for addiction (substance use) counseling, compared at the physician psychologist level. Per hour, rates range from — in Virginia to $124.24 in Maryland.
- States
- 14
- Median per hour
- $74.28
- Highest
- $124.24Maryland
- Lowest
- —Virginia
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | MarylandAny qualified provider (rate does not vary by provider) | $31.06 | 15 min | $124.24 | 2024-07-01 | Official source |
| 2 | South CarolinaAny qualified provider (rate does not vary by provider) | $25.07 | 15 min | $100.28 | 2025-12-01 | Official source |
| 3 | ColoradoAny qualified provider (rate does not vary by provider) | $21.78 | 15 min | $87.12 | 2026-07-01 | Official source |
| 4 | LouisianaMaster's-level staff | $18.57 | 15 min | $74.28 | 2026-01-01 | Official source |
| 5 | ConnecticutAny qualified provider (rate does not vary by provider) | $45.26 | hour | $45.26 | 2021-07-01 | Official source |
| 6 | OhioPhysician or licensed psychologist (incl. BCBA-D) | $10.56 | 15 min | $42.24 | 2024-01-01 | Official source |
| 7 | IndianaAny qualified provider (rate does not vary by provider) | $14.58 | hour | $14.58 | 2020-04-01 | Official source |
| 8 | IllinoisAny qualified provider (rate does not vary by provider) | $306.55 | day | — | 2025-07-01 | Official source |
| 9 | MaineAny qualified provider (rate does not vary by provider) | $302.12 | — | — | 2025-07-01 | Official source |
| 10 | CaliforniaPhysician or licensed psychologist (incl. BCBA-D) | $226.06 | — | — | 2026-07-01 | Official source |
| 11 | MinnesotaAny qualified provider (rate does not vary by provider) | $34.00 | — | — | 2011-07-01 | Official source |
| 12 | FloridaAny qualified provider (rate does not vary by provider) | $15.00 | per quarter unit | — | 2026-01-01 | Official source |
| 13 | WashingtonAny qualified provider (rate does not vary by provider) | $15.00 | EA | — | 2021-07-01 | Official source |
| 14 | VirginiaAny qualified provider (rate does not vary by provider) | $7.72 | — | — | 2025-07-01 | Official source |
Frequently asked questions
Which state pays the most for addiction (substance use) counseling?
Maryland: $31.06 per 15 min ($124.24 per hour).
What is the average Medicaid rate for addiction (substance use) counseling?
Across 14 states the median is $74.28 per hour, comparing the same provider level in each state.
Other Behavioral health services
Skills training and development35 statesMental health counseling32 statesMental health service plan development30 statesTherapeutic behavioral services30 statesPeer support (behavioral health)22 statesPsychosocial rehabilitation21 statesAssertive Community Treatment (ACT) team21 statesCommunity-based wraparound services21 statesPsychiatric residential treatment (daily)19 states
Addiction (substance use) counseling in your statesRates, plan rules, labor costs and changes, with alerts.