PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Rates through October 2026State-published files · No login required

90837 Medicaid Fee Schedule Rates by State

Compare 90837 across covered Medicaid fee-for-service physician schedules. Comparable rankings use unmodified non-facility rates; provider, program, and modifier-specific fees appear as labeled ranges or separate choices.

These are agency-published fee-for-service amounts, not managed-care contracted rates or a guarantee of payment. The free view shows all covered jurisdictions for 20 common codes, including 99213, 99214, 99203 and up to 8 jurisdictions for other published codes.

Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 90837

90837 218 published rates across 39 jurisdictions

Medicaid rate by state

90837each state's current schedule
Jurisdictions compared
39
Lowest comparable
$81.59
Median of 37
$132.06
Highest comparable
$323.68
Comparable spread
4.0x
Alaska: $323.68, effective July 2026Alabama: $201.42, effective September 2026Arkansas: $166.31, effective September 2026Arizona: $154.98 (median of $129.15 to $172.20 by rate type), effective October 2026California: non-facility rates $38.01 to $131.97 by provider, program, or modifier; exact rates are listed belowColorado: non-facility rates $135.35 by provider, program, or modifier; exact rates are listed belowConnecticut: $128.33 (median of $105.68 to $145.17 by rate type), effective October 2026District of Columbia: no published rate for 90837Delaware: $132.06 (median of $100.36 to $163.75 by rate type), effective January 2026Florida: no published rate for 90837Georgia: $111.16, effective July 2026Hawaii: $135.59, effective June 2026Iowa: $81.59 (median of $81.59 to $91.17 by rate type), effective September 2026Idaho: $141.23, effective October 2026Illinois: $91.58, effective July 2026Indiana: $150.29, effective September 2026Kansas: $115.63 (ordinary statewide rate; $86.72 to $115.63 by rate type), effective October 2026Kentucky: $94.13, effective January 2026Louisiana: $125.86, effective July 2026Massachusetts: $108.09, effective October 2026Maryland: $132.66, effective September 2026Maine: no published rate for 90837Michigan: $108.66 (median of $106.50 to $110.81 by rate type), effective September 2026Minnesota: $139.17, effective September 2026Missouri: no published rate for 90837Mississippi: no published rate for 90837Montana: $216.51, effective January 2026North Carolina: $96.44, effective January 2026North Dakota: $187.37, effective August 2026Nebraska: no published rate for 90837New Hampshire: $118.38, effective July 2026New Jersey: $83.51, effective July 2026New Mexico: no published rate for 90837Nevada: $116.09 (median of $81.94 to $116.09 by rate type), effective July 2026New York: no published rate for 90837Ohio: $108.57, effective January 2026Oklahoma: $152.21, effective July 2026Oregon: no published rate for 90837Pennsylvania: no published rate for 90837Rhode Island: $135.68, effective October 2026South Carolina: $103.83 (ordinary statewide rate; $83.06 to $145.36 by rate type), effective October 2026South Dakota: $160.73, effective July 2026Texas: $130.69 (median of $127.50 to $133.88 by rate type), effective September 2026Utah: $168.79 (median of $159.23 to $178.34 by rate type), effective October 2026Virginia: $170.73, effective October 2026Vermont: $141.08 (median of $141.08 to $187.13 by rate type), effective October 2026Washington: $122.51, effective October 2026Wisconsin: no published rate for 90837West Virginia: $116.39, effective April 2026Wyoming: $138.27 (ordinary statewide rate; $108.90 to $138.27 by rate type), effective September 2026AK$323.68ALARAZ$154.98CA$38.01-$131.97CO$135.35FLGAIAID$141.23ILINKS$115.63KYLAMEMIMN$139.17MOMSMT$216.51NCND$187.37NENMNV$116.09NYOHOK$152.21ORPASCSD$160.73TN!TX$130.69UT$168.79VAWA$122.51WIWVWY$138.27
Small states:CT$128.33DC—DE$132.06HI$135.59MA$108.09MD$132.66NH$118.38NJ$83.51RI$135.68VT$141.08
No published rateRate choicesNot loaded yetNo schedule published

Ranked by rate

comparable median $132.06

Rate choices are placed by their lowest published non-facility fee.

  1. AK$323.68
  2. MT$216.51
  3. AL$201.42
  4. ND$187.37
  5. VA$170.73
  6. UT$168.79
  7. AR$166.31
  8. SD$160.73
  9. AZ$154.98
  10. OK$152.21
  11. IN$150.29
  12. ID$141.23
  13. VT$141.08
  14. MN$139.17
  15. WY$138.27
  16. RI$135.68
  17. HI$135.59
  18. CO$135.35
  19. MD$132.66
  20. DE$132.06
  21. TX$130.69
  22. CT$128.33
  23. LA$125.86
  24. WA$122.51
  25. NH$118.38
  26. WV$116.39
  27. NV$116.09
  28. KS$115.63
  29. GA$111.16
  30. MI$108.66
  31. OH$108.57
  32. MA$108.09
  33. SC$103.83
  34. NC$96.44
  35. KY$94.13
  36. IL$91.58
  37. NJ$83.51
  38. IA$81.59
  39. CA$38.01to $131.97

Blue states show comparable rates or published rate choices. Use the exact rate type below.

Rate history for one state

Select a state on the map to see how its rate has moved - the platform holds 195 published periods back to 2001. Not part of the free view.

Historical rates are part of the platform

The table behind this panel shows the fields available in historical schedules; it does not display synthetic dates or rates. The real history, every published schedule back to 2001 for all 17,674 codes, is in the platform.

Book a 15-min Medicaid walkthrough

37 jurisdictions with comparable rates for 90837

JurisdictionPrior authNon-facility rate
AlaskaJuly 2026Not published$323.68
MontanaJul 1, 2025Not required$216.51
AlabamaSeptember 2026Not required$201.42
North DakotaAugust 2026Not required$187.37
VirginiaJul 1, 2026Not required$170.73
UtahJul 1, 2026
$159.23 to $178.34 across 2 rate types
Global (Rural)
$178.34
Global
$159.23
Not required$168.79median across rate types
ArkansasSeptember 2026Not published$166.31
South DakotaJul 1, 2026Not published$160.73
ArizonaOct 1, 2026
$129.15 to $172.20 across 7 rate types
General
$172.20
Provider type 08
$172.20
Provider type 31
$172.20
Provider type 18
$154.98
Provider type 19
$154.98
Provider type CN
$154.98
Provider types 85, 87
$129.15
Not published$154.98median across rate types
OklahomaJul 1, 2026Not published$152.21
IndianaJan 1, 2026Not required$150.29
IdahoJul 1, 2026Not required$141.23
VermontJul 1, 2026
$141.08 to $187.13 across 19 rate types
Provider type 037 · Specialty S12 · PAC 3
$187.13
Provider type 000 · Specialty 000 · PAC R
$141.08
Provider type 005 · Specialty S56 · PAC R
$141.08
Provider type 005 · Specialty S57 · PAC R
$141.08
Provider type 016 · Specialty 080 · PAC R
$141.08
Provider type 019 · Specialty 062 · PAC R
$141.08
Provider type 019 · Specialty 079 · PAC R
$141.08
Provider type 019 · Specialty S56 · PAC R
$141.08
Provider type 019 · Specialty S57 · PAC R
$141.08
Provider type 019 · Specialty S70 · PAC R
$141.08
Provider type 019 · Specialty S71 · PAC R
$141.08
Provider type 030 · Specialty S56 · PAC R
$141.08
Provider type 030 · Specialty S57 · PAC R
$141.08
Provider type T06 · Specialty S56 · PAC R
$141.08
Provider type T06 · Specialty S57 · PAC R
$141.08
Provider type T25 · Specialty S18 · PAC R
$141.08
Provider type T38 · Specialty 079 · PAC R
$141.08
Provider type T38 · Specialty S56 · PAC R
$141.08
Provider type T38 · Specialty S57 · PAC R
$141.08
Not required$141.08median across rate types
MinnesotaFeb 1, 2026Conditional$139.17
WyomingJul 1, 2026
$108.90 to $138.27 across 2 rate types
General
$138.27
Behavioral Health Center Full Coverage
$108.90
Not required$138.27ordinary statewide rate
Rhode IslandOct 1, 2026Not published$135.68
HawaiiJune 2026Not published$135.59
MarylandSeptember 2026Not required$132.66
DelawareJanuary 2026
$100.36 to $163.75 across 2 rate types
RBRVS Priced Procedures
$163.75
Procedures Without Modifier · Rate type DOE
$100.36
Not published$132.06median across rate types
TexasMar 1, 2026
$127.50 to $133.88 across 2 rate types
Medical Services · Under 21
$133.88
Medical Services · Ages 21+
$127.50
Not published$130.69median across rate types
ConnecticutJan 1, 2026
$105.68 to $145.17 across 6 rate types
General
$145.17
Rate type DEK
$145.17
Rate type PY
$128.33
Rate type PYK
$128.33
Rate type BHC
$105.68
Rate type BHK
$105.68
Not required$128.33median across rate types
LouisianaJul 1, 2025Not required$125.86
WashingtonOctober 2026Not published$122.51
New HampshireJan 1, 2024Not required$118.38
West VirginiaApr 1, 2026Not published$116.39
NevadaJan 1, 2024
$81.94 to $116.09 across 3 rate types
APRN · Rate type DEF
$116.09
Rate type DEF
$116.09
Physician Assistant · Rate type PR1
$81.94
Not published$116.09median across rate types
KansasAug 1, 2024
$86.72 to $115.63 across 3 rate types
Max Fee
$115.63
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$86.72
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$86.72
Not published$115.63ordinary statewide rate
GeorgiaJuly 2026Not published$111.16
MichiganSeptember 2026
$106.50 to $110.81 across 2 rate types
Under 22
$110.81
Ages 21+
$106.50
Not published$108.66median across rate types
OhioJan 1, 2024Not published$108.57
MassachusettsOct 1, 2026Not published$108.09
South CarolinaJul 1, 2024
$83.06 to $145.36 across 4 rate types
Pediatric Subspecialty
$145.36
General
$103.83
Nurse Midwife
$83.06
PA/NP
$83.06
Not published$103.83ordinary statewide rate
North CarolinaOct 1, 2025Not published$96.44
KentuckyJanuary 2026Not published$94.13
IllinoisApr 1, 2024Not published$91.58
New JerseyJul 1, 2026Not published$83.51
IowaJul 1, 2024
$81.59 to $91.17 across 5 rate types
Provider type 38
$91.17
Provider type 68
$83.33
General
$81.59
Provider type 03
$81.59
Provider type 50
$81.59
Not published$81.59median across rate types

Rates by provider, program, modifier, or setting

Check the rate type, modifiers, and place of service before using an amount. These amounts are not interchangeable.

JurisdictionRate typeModifiersNon-facility rateFacility rate
ArkansasGeneralU4 + U5 + X2$115.10—
ArkansasGeneralU4 + U5 + X4$115.10—
ArkansasGeneralU4 + U5$115.10—
ArkansasGeneralU4 + UC + UK$126.61—
ArkansasGeneralU4$166.31—
California
3 rate contexts at this amount
Justice Involved
LEA
Targeted Rate Increase (TRI)
None$131.97$131.97
CaliforniaMedi Cal WaiverNone$51.00$51.00
CaliforniaMedicine (Physician)None$98.02$98.02
CaliforniaMedicine (Physician) · Hospital Emergency RoomNone—$124.32
CaliforniaPsychology Mental Health ExpansionNone$38.01$38.01
ColoradoGeneralGT$135.35—
Connecticut
2 rate contexts at this amount
Rate type FBH
Rate type FBK
None—$53.25
Connecticut
2 rate contexts at this amount
Rate type FPK
Rate type FPY
None—$64.65
Connecticut
2 rate contexts at this amount
Rate type FTD
Rate type FTK
None—$73.14
KentuckyStandard rateNone—$93.67
New HampshireGeneralHE$147.98—
New HampshireGeneralHW + U1$147.98—
New HampshireGeneralHW + U2$147.98—
New HampshireGeneralHW + U5$147.98—
New HampshireGeneralHW + U6$147.98—
New HampshireGeneralHW + U7$147.98—
New HampshireGeneralTM$118.38—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
AJ + HE$76.72—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
AJ + HF$76.72—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
HA + 22$49.00—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
HE + HH$76.72—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
HF + HH$76.72—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
HF + SA$34.89—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
HF$43.21—
New Jersey
4 rate contexts at this amount
Children Non Specialist or Rental
Children Specialist or Purchase
Fee Non Specialist or Rental
Fee Specialist or Purchase
UC$43.21—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
AJ + U5 + U2$107.08—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
AJ + U5$107.08—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
AJ + U6 + U2$87.92—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
AJ + U6$87.92—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
HO + U5 + U2$86.48—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
HO + U5$86.48—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
HO + U6 + U2$70.40—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
HO + U6$70.40—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
L9 + AJ + U2$107.08—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
L9 + AJ$107.08—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
L9 + HO + U2$86.48—
Rhode Island
4 rate contexts at this amount
Program BHD011 · Level 4 · PAC S · Up to 8 units
Program MBD011 · Level 4 · PAC S · Up to 8 units
Program MBD012 · Level 4 · PAC S · Up to 8 units
Program MBD013 · Level 4 · PAC S · Up to 8 units
L9 + HO$86.48—
Rhode Island
3 rate contexts at this amount
Program MBH010 · Level 4 · PAC S · Up to 2 units
Program MBH015 · Level 4 · PAC S · Up to 2 units
Program MMH015 · Level 4 · PAC S · Up to 1 unit
HP$148.77—
Rhode Island
2 rate contexts at this amount
Program MMH015 · Level 4 · PAC S · Up to 1 unit
Level 4 · PAC S · Up to 1 unit
AJ$116.60—
Rhode Island
2 rate contexts at this amount
Program MMH015 · Level 4 · PAC S · Up to 1 unit
Level 4 · PAC S · Up to 1 unit
HF$106.70—
Rhode Island
2 rate contexts at this amount
Program MMH015 · Level 4 · PAC S · Up to 1 unit
Level 4 · PAC S · Up to 1 unit
HO$116.60—
Rhode IslandProgram MMH015 · Level 4 · PAC S · Up to 1 unitUA$109.59—
South CarolinaGeneralGT$103.83$91.73
South CarolinaGeneralHO$94.42$88.12
South Carolina
2 rate contexts at this amount
Nurse Midwife
PA/NP
GT$83.06$73.39
South Carolina
2 rate contexts at this amount
Nurse Midwife
PA/NP
HO$75.54$70.50
South CarolinaPediatric SubspecialtyGT$145.36$128.42
South CarolinaPediatric SubspecialtyHO$132.19$123.37
Virginia
2 rate contexts at this amount
Sab: Non-substance
Sab: Substance Abu
None—$138.29
WyomingBehavioral Health Center Full Coverage95$177.00—
WyomingBehavioral Health Center Full CoverageGT$177.00—

Labels summarize each state's published rate context. Provider specialty lists, place-of-service lists and adjustment codes are in the full dataset. See the full context in the platform

90837 Medicaid vs. Medicare

Medicare's 2026 national non-facility payment for 90837 is $167.005. Medicaid's $130.69, the median across 37 state programs, is 78% of Medicare.

Medicaid figures are unmodified non-facility fee-for-service rates; Medicare's is the national amount before geographic adjustment.

See 90837 Medicare rates

No comparable statewide physician fee schedule is available for Tennessee. Why.

Methodology

Each jurisdiction's published Medicaid fee-for-service physician schedule is downloaded at the source, parsed, and normalized into a shared schema of jurisdiction, effective period, rate type, code, modifier, non-facility rate, and facility rate. Rates are carried through unchanged - no averaging, interpolation, or cross-jurisdiction adjustment is applied. Where a program publishes a single rate for both settings, the same value appears in both columns. Managed-care contracts, eligibility, coverage rules, modifiers not shown, and claim-specific adjustments can produce different payment.

Medicaid benefits and coverage at Medicaid.gov
Looking for Medicare rates? Search the Medicare fee schedule.