The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Iowa behavioral health schedule has 42 codes.
- Every code on all 51 published schedules
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Published codes
42
Behavioral Health procedures on the 2025 schedule
Median % of Medicare
50%
vs national Medicare, GPCI-neutral
Effective vintage
2025
latest effective year on the schedule
Common behavioral health procedures and what Iowa Medicaid pays
A curated sample of recognizable procedures from the 42-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Iowa rate | % of Medicare |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation, no medical services | $105.24 | 60.7% |
| 90792 | Psychiatric diagnostic evaluation with medical services | $87.70 | 43.4% |
| 90832 | Psychotherapy, 30 minutes | $43.82 | 51% |
| 90833 | Psychotherapy, 30 minutes, added to an E&M visit | $29.25 | 35.9% |
| 90834 | Psychotherapy, 45 minutes | $56.90 | 50% |
| 90836 | Psychotherapy, 45 minutes, added to an E&M visit | $47.56 | 46.1% |
| 90837 | Psychotherapy, 60 minutes | $83.33 | 49.9% |
| 90838 | Psychotherapy, 60 minutes, added to an E&M visit | $76.55 | 56% |
| 90839 | Psychotherapy for crisis, first 60 minutes | $108.94 | 68% |
| 90840 | Psychotherapy for crisis, each added 30 minutes | $52.11 | 67.5% |
| 90846 | Family psychotherapy without the patient, 50 minutes | $16.20 | 15.3% |
| 90847 | Family psychotherapy with the patient, 50 minutes | $16.20 | 14.8% |
| 90849 | Multiple-family group psychotherapy | $28.95 | 71.6% |
| 90853 | Group psychotherapy | $32.44 | 106.7% |
| 90867 | Transcranial magnetic stimulation (TMS), initial treatment | $164.72 | -- |
| 90868 | Transcranial magnetic stimulation (TMS), subsequent treatment | $130.24 | -- |
| 90870 | Electroconvulsive therapy (ECT) | $76.29 | 41.9% |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $18.32 | -- |
| H0031 | Mental health assessment, by non-physician | $81.32 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Iowa Medicaid fee schedules
- Iowa physician fee schedule · 6,709 codes
- Iowa lab & imaging fee schedule · 2,057 codes
- Iowa dme & supplies fee schedule · 1,855 codes
- Iowa drugs fee schedule · 817 codes
- Iowa other services fee schedule · 193 codes
- Iowa vision fee schedule · 155 codes
Behavioral Health rates in neighboring states
Frequently asked questions
What does Iowa Medicaid pay for behavioral health services?
Iowa Medicaid publishes 42 behavioral health procedure rates effective 2025, paying a median 50% of the national Medicare amount for the same services. The schedule covers psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Iowa's behavioral health rates compare with Medicare?
Across behavioral health codes with a national Medicare comparator, Iowa Medicaid pays a median 50% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do behavioral health services need prior authorization in Iowa?
Iowa does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Iowa's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Iowa changes these rates.