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.
90837 218 published rates across 39 jurisdictions
Medicaid rate by state
- Jurisdictions compared
- 39
- Lowest comparable
- $81.59
- Median of 37
- $132.06
- Highest comparable
- $323.68
- Comparable spread
- 4.0x
Ranked by rate
comparable median $132.06Rate choices are placed by their lowest published non-facility fee.
- AK$323.68
- MT$216.51
- AL$201.42
- ND$187.37
- VA$170.73
- UT$168.79
- AR$166.31
- SD$160.73
- AZ$154.98
- OK$152.21
- IN$150.29
- ID$141.23
- VT$141.08
- MN$139.17
- WY$138.27
- RI$135.68
- HI$135.59
- CO$135.35
- MD$132.66
- DE$132.06
- TX$130.69
- CT$128.33
- LA$125.86
- WA$122.51
- NH$118.38
- WV$116.39
- NV$116.09
- KS$115.63
- GA$111.16
- MI$108.66
- OH$108.57
- MA$108.09
- SC$103.83
- NC$96.44
- KY$94.13
- IL$91.58
- NJ$83.51
- IA$81.59
- 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.
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 walkthrough37 jurisdictions with comparable rates for 90837
| Jurisdiction | Prior auth | Non-facility rate |
|---|---|---|
| AlaskaJuly 2026 | Not published | $323.68 |
| MontanaJul 1, 2025 | Not required | $216.51 |
| AlabamaSeptember 2026 | Not required | $201.42 |
| North DakotaAugust 2026 | Not required | $187.37 |
| VirginiaJul 1, 2026 | Not required | $170.73 |
UtahJul 1, 2026$159.23 to $178.34 across 2 rate types
| Not required | $168.79median across rate types |
| ArkansasSeptember 2026 | Not published | $166.31 |
| South DakotaJul 1, 2026 | Not published | $160.73 |
ArizonaOct 1, 2026$129.15 to $172.20 across 7 rate types
| Not published | $154.98median across rate types |
| OklahomaJul 1, 2026 | Not published | $152.21 |
| IndianaJan 1, 2026 | Not required | $150.29 |
| IdahoJul 1, 2026 | Not required | $141.23 |
VermontJul 1, 2026$141.08 to $187.13 across 19 rate types
| Not required | $141.08median across rate types |
| MinnesotaFeb 1, 2026 | Conditional | $139.17 |
WyomingJul 1, 2026$108.90 to $138.27 across 2 rate types
| Not required | $138.27ordinary statewide rate |
| Rhode IslandOct 1, 2026 | Not published | $135.68 |
| HawaiiJune 2026 | Not published | $135.59 |
| MarylandSeptember 2026 | Not required | $132.66 |
DelawareJanuary 2026$100.36 to $163.75 across 2 rate types
| Not published | $132.06median across rate types |
TexasMar 1, 2026$127.50 to $133.88 across 2 rate types
| Not published | $130.69median across rate types |
ConnecticutJan 1, 2026$105.68 to $145.17 across 6 rate types
| Not required | $128.33median across rate types |
| LouisianaJul 1, 2025 | Not required | $125.86 |
| WashingtonOctober 2026 | Not published | $122.51 |
| New HampshireJan 1, 2024 | Not required | $118.38 |
| West VirginiaApr 1, 2026 | Not published | $116.39 |
NevadaJan 1, 2024$81.94 to $116.09 across 3 rate types
| Not published | $116.09median across rate types |
KansasAug 1, 2024$86.72 to $115.63 across 3 rate types
| Not published | $115.63ordinary statewide rate |
| GeorgiaJuly 2026 | Not published | $111.16 |
MichiganSeptember 2026$106.50 to $110.81 across 2 rate types
| Not published | $108.66median across rate types |
| OhioJan 1, 2024 | Not published | $108.57 |
| MassachusettsOct 1, 2026 | Not published | $108.09 |
South CarolinaJul 1, 2024$83.06 to $145.36 across 4 rate types
| Not published | $103.83ordinary statewide rate |
| North CarolinaOct 1, 2025 | Not published | $96.44 |
| KentuckyJanuary 2026 | Not published | $94.13 |
| IllinoisApr 1, 2024 | Not published | $91.58 |
| New JerseyJul 1, 2026 | Not published | $83.51 |
IowaJul 1, 2024$81.59 to $91.17 across 5 rate types
| 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.
| Jurisdiction | Rate type | Modifiers | Non-facility rate | Facility rate |
|---|---|---|---|---|
| Arkansas | General | U4 + U5 + X2 | $115.10 | — |
| Arkansas | General | U4 + U5 + X4 | $115.10 | — |
| Arkansas | General | U4 + U5 | $115.10 | — |
| Arkansas | General | U4 + UC + UK | $126.61 | — |
| Arkansas | General | U4 | $166.31 | — |
| California | 3 rate contexts at this amount
| None | $131.97 | $131.97 |
| California | Medi Cal Waiver | None | $51.00 | $51.00 |
| California | Medicine (Physician) | None | $98.02 | $98.02 |
| California | Medicine (Physician) · Hospital Emergency Room | None | — | $124.32 |
| California | Psychology Mental Health Expansion | None | $38.01 | $38.01 |
| Colorado | General | GT | $135.35 | — |
| Connecticut | 2 rate contexts at this amount
| None | — | $53.25 |
| Connecticut | 2 rate contexts at this amount
| None | — | $64.65 |
| Connecticut | 2 rate contexts at this amount
| None | — | $73.14 |
| Kentucky | Standard rate | None | — | $93.67 |
| New Hampshire | General | HE | $147.98 | — |
| New Hampshire | General | HW + U1 | $147.98 | — |
| New Hampshire | General | HW + U2 | $147.98 | — |
| New Hampshire | General | HW + U5 | $147.98 | — |
| New Hampshire | General | HW + U6 | $147.98 | — |
| New Hampshire | General | HW + U7 | $147.98 | — |
| New Hampshire | General | TM | $118.38 | — |
| New Jersey | 4 rate contexts at this amount
| AJ + HE | $76.72 | — |
| New Jersey | 4 rate contexts at this amount
| AJ + HF | $76.72 | — |
| New Jersey | 4 rate contexts at this amount
| HA + 22 | $49.00 | — |
| New Jersey | 4 rate contexts at this amount
| HE + HH | $76.72 | — |
| New Jersey | 4 rate contexts at this amount
| HF + HH | $76.72 | — |
| New Jersey | 4 rate contexts at this amount
| HF + SA | $34.89 | — |
| New Jersey | 4 rate contexts at this amount
| HF | $43.21 | — |
| New Jersey | 4 rate contexts at this amount
| UC | $43.21 | — |
| Rhode Island | 4 rate contexts at this amount
| AJ + U5 + U2 | $107.08 | — |
| Rhode Island | 4 rate contexts at this amount
| AJ + U5 | $107.08 | — |
| Rhode Island | 4 rate contexts at this amount
| AJ + U6 + U2 | $87.92 | — |
| Rhode Island | 4 rate contexts at this amount
| AJ + U6 | $87.92 | — |
| Rhode Island | 4 rate contexts at this amount
| HO + U5 + U2 | $86.48 | — |
| Rhode Island | 4 rate contexts at this amount
| HO + U5 | $86.48 | — |
| Rhode Island | 4 rate contexts at this amount
| HO + U6 + U2 | $70.40 | — |
| Rhode Island | 4 rate contexts at this amount
| HO + U6 | $70.40 | — |
| Rhode Island | 4 rate contexts at this amount
| L9 + AJ + U2 | $107.08 | — |
| Rhode Island | 4 rate contexts at this amount
| L9 + AJ | $107.08 | — |
| Rhode Island | 4 rate contexts at this amount
| L9 + HO + U2 | $86.48 | — |
| Rhode Island | 4 rate contexts at this amount
| L9 + HO | $86.48 | — |
| Rhode Island | 3 rate contexts at this amount
| HP | $148.77 | — |
| Rhode Island | 2 rate contexts at this amount
| AJ | $116.60 | — |
| Rhode Island | 2 rate contexts at this amount
| HF | $106.70 | — |
| Rhode Island | 2 rate contexts at this amount
| HO | $116.60 | — |
| Rhode Island | Program MMH015 · Level 4 · PAC S · Up to 1 unit | UA | $109.59 | — |
| South Carolina | General | GT | $103.83 | $91.73 |
| South Carolina | General | HO | $94.42 | $88.12 |
| South Carolina | 2 rate contexts at this amount
| GT | $83.06 | $73.39 |
| South Carolina | 2 rate contexts at this amount
| HO | $75.54 | $70.50 |
| South Carolina | Pediatric Subspecialty | GT | $145.36 | $128.42 |
| South Carolina | Pediatric Subspecialty | HO | $132.19 | $123.37 |
| Virginia | 2 rate contexts at this amount
| None | — | $138.29 |
| Wyoming | Behavioral Health Center Full Coverage | 95 | $177.00 | — |
| Wyoming | Behavioral Health Center Full Coverage | GT | $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
Compare this state-published Medicaid fee-for-service amount with the negotiated commercial rates payers have published for the same code.
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.
90837 Medicaid rates in high-enrollment states
Open a state schedule for its current rate, effective period, methodology, and official source.
90837 Medicaid rate by state
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