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Q4107 Medicaid reimbursement rates by state

Graftjacket, per square centimeter (add-on. 25 state Medicaid programs publish a fee-for-service rate for Q4107 at the physician psychologist level. Rates run from $23.15 in Kansas to $137.06 in Connecticut, with a median of $92.59.

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

States publishing
25
Median rate
$92.59units vary by state
Highest
$137.06Connecticut
Medicare (non-facility)
$109.31–$183.512026 physician fee schedule

Q4107 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$137.06since 2026-07-01——Not classified—CMAP fee schedule: Physician Office and
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$127.28since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$127.26since 2026-01-01——Not classified—South Dakota Medicaid Physician fee sche
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$119.93since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$107.14since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$101.16since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$98.14since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$95.72since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$94.76since 2014-06-23——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$93.32since 2018-07-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician.
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$92.59since 2019-10-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$92.59since 2019-11-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$92.59since 2026-01-01——Not classified—Maryland Medicaid Professional Services
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$92.59since 2019-10-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$91.83since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$90.11since 2019-04-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$88.97since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$86.69since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$85.61since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$81.15since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$80.76since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$79.13since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$50.55since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$23.15since 2019-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 Q4107?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $92.59. Connecticut pays the most ($137.06) and Kansas the least ($23.15).

Which state pays the highest Medicaid rate for Q4107?

Connecticut, at $137.06, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4107?

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.

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