90863 Medicaid reimbursement rate by state (2026)
Outpatient psychotherapy and diagnostic evaluation. Medicaid pays a median of $37.59 for 90863 across 22 states, from $4.36 in New Hampshire to $104.06 in South Dakota.
- States publishing
- 22
- National median
- $37.59units vary by state
- Lowest
- $4.36New Hampshire
- Highest
- $104.06South Dakota
What does Medicaid pay for 90863?
22 state Medicaid programs publish a fee-for-service rate for 90863. The national median is $37.59 (units differ between states). South Dakota pays the most, $104.06, and New Hampshire the least, $4.36, a 23.9x spread.
90863 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 22 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 90863?
It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $37.59. South Dakota pays the most ($104.06) and New Hampshire the least ($4.36).
Which state pays the highest Medicaid rate for 90863?
South Dakota, at $104.06, effective 2026-06-01.
Do managed-care plans pay the same rate for 90863?
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.