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Rates through October 2026State-published files · No login required

99492 Medicaid Fee Schedule Rates by State

Compare 99492 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.

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Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 99492

99492 8 jurisdictions shown, more may be in the platform

1st Psyc Collab Care Mgmt, Initial Psychiatric Collaborative Care Management First 70 Minutes In The First Calendar Month Of Behavioral Health Care Manager Activities In Consultation With A Psychiatric Consultant And Directed By The Treating Physician Or Other Qualified Health Care Professional With The Following Required Elements Outreach To And Engagement In Treatment Of A Patient Directed By The Treating Physician Or Other Qualified Health Care Professional Initial Assessment Of The Patient Including Administration Of Validated Rating Scales With The Development Of An Individualized Treatment Plan Review By The Psychiatric Consultant With Modifications Of The Plan If Recommended Entering Patient In A Registry And Tracking Patient Follow Up And Progress Using The Registry With Appropriate Documentation And Participation In Weekly Caseload Consultation With The Psychiatric Consultant And Provision Of Brief Interventions Using Evidence Based Techniques Such As Behavioral Activation Motivational Interviewing And Other Focused Treatment StrategiesSign up free to see the CPT description

Medicaid rate by state

994928 jurisdictions shown, more may be in the platform
Comparable rates shown
8
Shown lowest
$59.94
Shown median
$121.105
Shown highest
$133.86
Alaska: not shown here - Alaska's full fee schedule is in the platformAlabama: not shown here - Alabama's full fee schedule is in the platformArkansas: not shown here - Arkansas's full fee schedule is in the platformArizona: not shown here - Arizona's full fee schedule is in the platformCalifornia: not shown here - California's full fee schedule is in the platformColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: $120.70, effective October 2026District of Columbia: not shown here - District of Columbia's full fee schedule is in the platformDelaware: not shown here - Delaware's full fee schedule is in the platformFlorida: not shown here - Florida's full fee schedule is in the platformGeorgia: not shown here - Georgia's full fee schedule is in the platformHawaii: $92.90, effective June 2026Iowa: $132.79 (median of $120.84 to $142.16 by rate type), effective September 2026Idaho: not shown here - Idaho's full fee schedule is in the platformIllinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: $105.61 (ordinary statewide rate; $79.21 to $105.61 by rate type), effective October 2026Kentucky: $121.51, effective January 2026Louisiana: not shown here - Louisiana's full fee schedule is in the platformMassachusetts: not shown here - Massachusetts's full fee schedule is in the platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: not shown here - Minnesota's full fee schedule is in the platformMissouri: not shown here - Missouri's full fee schedule is in the platformMississippi: not shown here - Mississippi's full fee schedule is in the platformMontana: not shown here - Montana's full fee schedule is in the platformNorth Carolina: not shown here - North Carolina's full fee schedule is in the platformNorth Dakota: not shown here - North Dakota's full fee schedule is in the platformNebraska: not shown here - Nebraska's full fee schedule is in the platformNew Hampshire: $59.94, effective July 2026New Jersey: not shown here - New Jersey's full fee schedule is in the platformNew Mexico: not shown here - New Mexico's full fee schedule is in the platformNevada: not shown here - Nevada's full fee schedule is in the platformNew York: not shown here - New York's full fee schedule is in the platformOhio: not shown here - Ohio's full fee schedule is in the platformOklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: $129.11, effective September 2026Pennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRhode Island: not shown here - Rhode Island's full fee schedule is in the platformSouth Carolina: not shown here - South Carolina's full fee schedule is in the platformSouth Dakota: not shown here - South Dakota's full fee schedule is in the platformTexas: not shown here - Texas's full fee schedule is in the platformUtah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: $133.86, effective October 2026Washington: not shown here - Washington's full fee schedule is in the platformWisconsin: not shown here - Wisconsin's full fee schedule is in the platformWest Virginia: not shown here - West Virginia's full fee schedule is in the platformWyoming: not shown here - Wyoming's full fee schedule is in the platformAKALARAZCACOFLGAIAIDILINKS$105.61KYLAMEMIMNMOMSMTNCNDNENMNVNYOHOKOR$129.11PASCSDTN!TXUTVAWAWIWVWY
Small states:CT$120.70DCDEHI$92.90MAMDNH$59.94NJRIVT$133.86
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $121.105
  1. VT$133.86
  2. IA$132.79
  3. OR$129.11
  4. KY$121.51
  5. CT$120.70
  6. KS$105.61
  7. HI$92.90
  8. NH$59.94

Hatched states are not shown here. Flat grey means no single comparable rate is available for 99492.

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.

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The 8 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
VermontJan 1, 2026Not required$133.86
IowaJul 1, 2024
$120.84 to $142.16 across 4 rate types
General
$142.16
Provider type 03
$142.16
Provider type 68
$123.42
Provider type 50
$120.84
Not published$132.79median across rate types
OregonFeb 1, 2026Not published$129.11
KentuckyJanuary 2026Not published$121.51
ConnecticutJan 1, 2026Not required$120.70
KansasJan 1, 2025
$79.21 to $105.61 across 2 rate types
Max Fee
$105.61
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$79.21
Not published$105.61ordinary statewide rate
HawaiiJune 2026Not published$92.90
New HampshireJul 1, 2023Not required$59.94

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
KentuckyStandard rateNone—$70.08

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

Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.

More states may price 99492 than are shown here

The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.

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99492 Medicaid vs. Medicare vs. commercial

Medicaid · Median of the 8 state rates shown here
$121.10576% of Medicare
Medicare · 2026 national, non-facility
$160.324
Commercial national average · Mean of 4 national payers
$193.101269120% of Medicare

The commercial national average is the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide: BCBS $166.399168, UnitedHealthcare $195.554759, Aetna $165.040699, Cigna $245.410451.

Medicaid figures are unmodified non-facility fee-for-service rates; Medicare's is the national amount before geographic adjustment. The commercial figure is a national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 99492 across the country, and contracted rates vary widely by market, provider and plan.

See commercial rates in your stateSee 99492 Medicare ratesCommercial rates for 99492

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.