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90839 Medicaid reimbursement rate by state (2026)

Crisis intervention (behavioral health). Medicaid pays a median of $135.32 for 90839 across 41 states, from $79.60 in West Virginia to $825.87 in California.

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

States publishing
41
National median
$135.32units vary by state
Lowest
$79.60West Virginia
Highest
$825.87California
Median per hour
$136.9738 time-based states

What does Medicaid pay for 90839?

41 state Medicaid programs publish a fee-for-service rate for 90839 at the physician psychologist level. The national median is $135.32 (units differ between states). California pays the most, $825.87 per hour, and West Virginia the least, $79.60 per hour, a 10.4x spread. Converted to an hour of service in the 38 states that bill it by time, the median is $136.97 per hour.

Medicare (non-facility, 2026 physician fee schedule): $154.23–$222.25 depending on the state's Medicare locality.

90839 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$825.87hour$825.87Paid by the state, outside plans—
2Alaska Source · since 2026-07-01$309.49hour$309.49Not classified—
3New Mexico Source · since 2025-01-01$254.82Unit = 1 for first 60 min—Plans must pay at least this—
20Maryland Source · since 2026-01-01$138.62hour$138.62Not classified—
21Idaho Source · since 2026-07-01$135.32hour$135.32Not classified—
22Vermont Source · since 2026-01-01$135.29hour$135.29Not classified—
40South Carolina Source · since 2024-07-01$79.85hour$79.85Plans negotiate; applies out of network—
41West Virginia Source · since 2026-04-01$79.60hour$79.60Plans must pay at least this—
See all 41 states for 90839 — start free

33 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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

Track 90839 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 90839?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $135.32. California pays the most ($825.87 per hour) and West Virginia the least ($79.60 per hour).

Which state pays the highest Medicaid rate for 90839?

California, at $825.87 per hour ($825.87 per hour), effective 2026-07-01.

Do managed-care plans pay the same rate for 90839?

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