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A4550 Medicaid reimbursement rate by state (2026)

Surgical trays. Medicaid pays a median of $9.06 for A4550 across 17 states, from $1.52 in Massachusetts to $58.61 in Colorado.

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

States publishing
17
National median
$9.06units vary by state
Lowest
$1.52Massachusetts
Highest
$58.61Colorado

What does Medicaid pay for A4550?

17 state Medicaid programs publish a fee-for-service rate for A4550 at the physician psychologist level. The national median is $9.06 (units differ between states). Colorado pays the most, $58.61, and Massachusetts the least, $1.52, a 38.6x spread.

A4550 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
1Colorado Source · since 2022-07-01$58.61——Not classified—
2Nevada Source · since 2024-01-01$35.85——Plans must pay at least this—
3Wyoming Source · since 2021-01-01$29.25——Not classified—
8North Carolina Source · since 2025-10-01$10.03——Plans must pay at least this—
9Maine Source · since 2026-01-01$9.06——Not classified—
10Kansas Source · since 1989-01-01$8.23——Not classified—
16District of Columbia Source · since 2019-04-01$2.31——Not classified—
17Massachusetts Source · since 2026-03-01$1.52——Plans negotiate; applies out of network—
See all 17 states for A4550 — 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.

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 A4550 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 A4550?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $9.06. Colorado pays the most ($58.61) and Massachusetts the least ($1.52).

Which state pays the highest Medicaid rate for A4550?

Colorado, at $58.61, effective 2022-07-01.

Do managed-care plans pay the same rate for A4550?

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.