Skip to content
Billing code 90885 · Behavioral health

90885 Medicaid reimbursement rate by state (2026)

Mental health assessment (non-physician). Medicaid pays a median of $46.62 for 90885 across 12 states, from $25.41 in South Carolina to $835.49 in California.

Data as of Oct 5, 202612 statesEvery rate links to its official source

States publishing
12
National median
$46.62units vary by state
Lowest
$25.41South Carolina
Highest
$835.49California
Answer

What does Medicaid pay for 90885?

12 state Medicaid programs publish a fee-for-service rate for 90885. The national median is $46.62 (units differ between states). California pays the most, $835.49, and South Carolina the least, $25.41, a 32.9x spread.

State ranking

90885 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$835.49——Paid by the state, outside plans—
2New Mexico Source · since 2025-01-01$69.71——Plans must pay at least this—
3Arkansas Source · since 2022-10-12$57.60——Not classified—
6Delaware Source · since 2026-01-01$47.26——Plans negotiate; applies out of network—
7Iowa Source · since 2013-07-01$45.98——Plans must pay at least this—
8Missouri Source · since 2022-07-01$43.14——Plans must pay at least this—
11New Hampshire Source · since 2023-07-01$27.38——Plans negotiate; applies out of network—
12South Carolina Source · since 2024-07-01$25.41——Plans negotiate; applies out of network—
See all 12 states for 90885 — start free

4 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 90885 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 90885?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $46.62. California pays the most ($835.49) and South Carolina the least ($25.41).

Which state pays the highest Medicaid rate for 90885?

California, at $835.49, effective 2026-07-01.

Do managed-care plans pay the same rate for 90885?

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.