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90868 Medicaid reimbursement rate by state (2026)

Outpatient psychotherapy and diagnostic evaluation. Medicaid pays a median of $130.24 for 90868 across 29 states, from $19.78 in Ohio to $266.79 in California.

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

States publishing
29
National median
$130.24units vary by state
Lowest
$19.78Ohio
Highest
$266.79California

What does Medicaid pay for 90868?

29 state Medicaid programs publish a fee-for-service rate for 90868 at the physician psychologist level. The national median is $130.24 (units differ between states). California pays the most, $266.79, and Ohio the least, $19.78, a 13.5x spread.

90868 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$266.79——Paid by the state, outside plans—
2Maryland Source · since 2026-01-01$211.12——Not classified—
3Rhode Island Source · since 2016-03-01$209.93——Plans negotiate; applies out of network—
14Connecticut Source · since 2026-01-01$132.85——Not classified—
15Iowa Source · since 2020-07-01$130.24——Plans must pay at least this—
16Utah Source · since 2026-07-01$125.10——Plans negotiate; applies out of network—
28Delaware Source · since 2024-01-01$23.74——Plans negotiate; applies out of network—
29Ohio Source · since 2022-01-01$19.78——Plans expected to pay at least this—
See all 29 states for 90868 — start free

21 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 90868 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 90868?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $130.24. California pays the most ($266.79) and Ohio the least ($19.78).

Which state pays the highest Medicaid rate for 90868?

California, at $266.79, effective 2026-07-01.

Do managed-care plans pay the same rate for 90868?

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.