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99491 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $71.19 for 99491 across 17 states, from $20.05 in Kansas to $125.36 in Montana.

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

States publishing
17
National median
$71.19units vary by state
Lowest
$20.05Kansas
Highest
$125.36Montana

What does Medicaid pay for 99491?

17 state Medicaid programs publish a fee-for-service rate for 99491 at the physician psychologist level. The national median is $71.19 (units differ between states). Montana pays the most, $125.36, and Kansas the least, $20.05, a 6.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $84.23–$109.24 depending on the state's Medicare locality.

99491 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$125.36——Not classified—
2New Mexico Source · since 2025-01-01$121.35——Plans must pay at least this—
3Rhode Island Source · since 2026-07-01$91.00——Plans negotiate; applies out of network—
8Georgia Source · since 2019-01-01$71.25——Plans negotiate; applies out of network—
9California Source · since 2026-10-01$71.19——Plans negotiate; applies out of network—
10New Hampshire Source · since 2024-09-01$67.10——Plans must pay at least this—
16Washington Source · since 2026-07-01$38.41——Plans negotiate; applies out of network—
17Kansas Source · since 2019-01-01$20.05——Not classified—
See all 17 states for 99491 — start free

9 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.

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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.

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Frequently asked questions

What does Medicaid pay for 99491?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $71.19. Montana pays the most ($125.36) and Kansas the least ($20.05).

Which state pays the highest Medicaid rate for 99491?

Montana, at $125.36, effective 2026-07-01.

Do managed-care plans pay the same rate for 99491?

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.

Related codes

Codes next to 99491

99486Physician and practitioner services (fee schedule) · 15 states99487Physician and practitioner services (fee schedule) · 11 states99489Physician and practitioner services (fee schedule) · 11 states99490Physician and practitioner services (fee schedule) · 23 states99492Physician and practitioner services (fee schedule) · 33 states99493Physician and practitioner services (fee schedule) · 33 states99494Physician and practitioner services (fee schedule) · 33 states99495Physician and practitioner services (fee schedule) · 24 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Montana Medicaid fee scheduleNew Mexico Medicaid fee scheduleRhode Island Medicaid fee schedule