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99202 Medicaid reimbursement rate by state (2026)

New-patient office visit, level 1 of 4. Medicaid pays a median of $59.62 for 99202 across 50 states, from $29.63 in Virginia to $128.60 in Alaska.

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

States publishing
50
National median
$59.62units vary by state
Lowest
$29.63Virginia
Highest
$128.60Alaska

What does Medicaid pay for 99202?

50 state Medicaid programs publish a fee-for-service rate for 99202 at the physician psychologist level. The national median is $59.62 (units differ between states). Alaska pays the most, $128.60, and Virginia the least, $29.63, a 4.3x spread. Where the billing unit matches Medicare's, Medicaid pays between 130% and 130% of the 2026 Medicare physician fee schedule amount for the state.

Medicare (non-facility, 2026 physician fee schedule): $68.13–$95.94 depending on the state's Medicare locality.

99202 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$128.60——Not classified—
2Montana Source · since 2026-07-01$105.64——Not classified—
3New Mexico Source · since 2025-01-01$102.02——Plans must pay at least this—
25Oregon Source · since 2026-02-01$60.47——Plans negotiate; applies out of network—
26New Jersey Source · since 2026-07-01$58.77——Plans must pay at least this—
27Minnesota Source · since 2026-02-01$58.51——Plans negotiate; applies out of network—
49Florida Source · since 2026-01-01$32.18——Plans negotiate; applies out of network—
50Virginia Source · since 2026-07-01$29.63——Plans negotiate; applies out of network—
See all 50 states for 99202 — start free

42 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 99202 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 99202?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $59.62. Alaska pays the most ($128.60) and Virginia the least ($29.63).

Which state pays the highest Medicaid rate for 99202?

Alaska, at $128.60, effective 2026-07-01.

How do Medicaid rates for 99202 compare with Medicare?

Where the billing units match, Medicaid pays between 130% and 130% of the 2026 Medicare physician fee schedule amount for the state (non-facility).

Do managed-care plans pay the same rate for 99202?

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.