90880 Medicaid reimbursement rates by state
Outpatient psychotherapy and diagnostic evaluation. 10 state Medicaid programs publish a fee-for-service rate for 90880 at the physician psychologist level. Rates run from $25.47 in Kansas to $825.87 in California, with a median of $83.11.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $83.11units vary by state
- Highest
- $825.87California
- Medicare (non-facility)
- $99.71–$124.902026 physician fee schedule
90880 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| CaliforniaPhysician or licensed psychologist (incl. BCBA-D) · California Medi-Cal Specialty Mental Health Services (DHCS fee schedule for county Mental Health Plans) | $825.87⚠ over 3× mediansince 2026-07-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Behavioral Health Fee Schedules |
| MissouriPhysician or licensed psychologist (incl. BCBA-D) · Missouri MO HealthNet (fee-for-service) | $106.25since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Behavioral He |
| WisconsinPhysician or licensed psychologist (incl. BCBA-D) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $99.81since 2018-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Mntl Hlt |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $86.13since 2026-01-01 | — | — | Not classified | — | CMAP fee schedule: Behavioral Health Cli |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $83.23since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| OklahomaPhysician or licensed psychologist (incl. BCBA-D) · Oklahoma SoonerCare (fee-for-service, OHCA) | $82.99since 2022-07-01 | — | — | Plans must pay at least this | — | ODMHSAS PICIS 'SoonerCare - Psychologist |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $81.27since 2026-07-01 | — | — | Plans must pay at least this | — | DMAS procedure fee file cptmedical4.csv |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $67.46since 2025-07-01 | — | — | Plans must pay at least this | — | Specialized Behavioral Health Services f |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $63.66since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $25.47since 2009-12-18 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 90880?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $83.11. California pays the most ($825.87) and Kansas the least ($25.47).
Which state pays the highest Medicaid rate for 90880?
California, at $825.87, effective 2026-07-01.
Do managed-care plans pay the same rate for 90880?
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 table shows the rule for each state, cited to the contract or statute.