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Billing code T1007 · Behavioral health

T1007 Medicaid reimbursement rate by state (2026)

Alcohol and/or substance abuse services. Medicaid pays a median of $44.69 for T1007 across 10 states, from $12.50 in District of Columbia to $210.33 in California.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$44.69units vary by state
Lowest
$12.50District of Columbia
Highest
$210.33California
Answer

What does Medicaid pay for T1007?

10 state Medicaid programs publish a fee-for-service rate for T1007. The national median is $44.69 (units differ between states). California pays the most, $210.33, and District of Columbia the least, $12.50, a 16.8x spread.

State ranking

T1007 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$210.33——Paid by the state, outside plans—
2New Mexico Source · since 2025-01-01$175.83Unit = 1 service—Plans must pay at least this—
3Alaska Source · since 2026-07-01$131.37——Not classified—
5Florida Source · since 2026-01-01$48.93one time—Plans negotiate; applies out of network—
6Texas Source · since 2022-04-15$40.44——Plans negotiate; applies out of network—
9Colorado Source · since 2017-07-01$12.79Per Plan—Paid by the state, outside plans—
10District of Columbia Source · since 2003-09-01$12.50——Not classified—
See all 10 states for T1007 — start free

3 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.

Track T1007 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 T1007?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $44.69. California pays the most ($210.33) and District of Columbia the least ($12.50).

Which state pays the highest Medicaid rate for T1007?

California, at $210.33, effective 2026-07-01.

Do managed-care plans pay the same rate for T1007?

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.