Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90838. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Publishing states
44
Median % of Medicare
79.1%
Rate range
$71.79 - $257.60
90838 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $257.60 | 188.6% | -- | 2026 |
| Alabama | $78.63 | 57.6% | -- | 2026 |
| Arkansas | $152.11 | 111.3% | -- | 2026 |
| Arizona | $133.48 | 97.7% | -- | 2025 |
| California | $104.13 | 76.2% | -- | 2026 |
| Colorado | $107.10 | 78.4% | -- | 2026 |
| Connecticut | $140.26 | 102.7% | -- | 2026 |
| District of Columbia | $119.06 | 87.2% | Not required | 2026 |
| Delaware | $133.52 | 97.7% | -- | 2026 |
| Florida | $106.25 | 77.8% | -- | 2026 |
| Hawaii | $108.01 | 79.1% | -- | 2025 |
| Iowa | $76.55 | 56% | -- | 2024 |
| Idaho | $113.64 | 83.2% | Not required | 2026 |
| Illinois | $71.79 | 52.6% | -- | 2024 |
| Indiana | $118.40 | 86.7% | -- | 2026 |
| Kansas | $75.80 | 55.5% | -- | 2024 |
| Kentucky | $80.73 | 59.1% | -- | 2026 |
| Louisiana | $99.37 | 72.7% | -- | 2026 |
| Massachusetts | $85.64 | 62.7% | -- | 2026 |
| Maryland | $141.31 | 103.4% | -- | 2026 |
| Maine | $95.66 | 70% | -- | 2026 |
| Michigan | $90.69 | 66.4% | -- | 2026 |
| Minnesota | $111.73 | 81.8% | Conditional | 2026 |
| Mississippi | $117.37 | 85.9% | -- | 2026 |
| Montana | $172.42 | 126.2% | -- | 2026 |
| North Carolina | $88.84 | 65% | -- | 2025 |
| North Dakota | $150.95 | 110.5% | Not required | 2026 |
| New Hampshire | $93.79 | 68.7% | Not required | 2026 |
| New Jersey | $94.12 | 68.9% | Not required | 2026 |
| New Mexico | $98.78 | -- | -- | 2026 |
| Nevada | $99.49 | 72.8% | -- | 2024 |
| New York | $126.91 | 92.9% | -- | 2026 |
| Ohio | $98.80 | 72.3% | -- | 2024 |
| Oklahoma | $123.42 | 90.3% | -- | 2026 |
| Oregon | $110.18* | 80.7% | -- | 2026 |
| South Carolina | $81.90 | 60% | -- | 2024 |
| Texas | $101.58* | 74.4% | -- | 2026 |
| Utah | $143.36* | 104.9% | Not required | 2026 |
| Virginia | $139.66 | 102.2% | -- | 2026 |
| Vermont | $113.98 | 83.4% | -- | 2026 |
| Washington | $99.94 | 73.2% | -- | 2026 |
| Wisconsin | $130.82 | 95.8% | -- | 2022 |
| West Virginia | $95.89 | 70.2% | -- | 2026 |
| Wyoming | $109.65 | 80.3% | -- | 2026 |
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 * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related behavioral health codes
- 90785 - Psychotherapy interactive complexity (add-on)
- 90791 - Psychiatric diagnostic evaluation, no medical services
- 90792 - Psychiatric diagnostic evaluation with medical services
- 90832 - Psychotherapy, 30 minutes
- 90833 - Psychotherapy, 30 minutes, added to an E&M visit
- 90834 - Psychotherapy, 45 minutes
- 90836 - Psychotherapy, 45 minutes, added to an E&M visit
- 90837 - Psychotherapy, 60 minutes
All 28 codes from 90785 to 90889 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for 90838?
44 state Medicaid programs publish a fee-for-service rate for 90838 (psychotherapy, 60 minutes, added to an E&M visit), ranging from $71.79 in Illinois to $257.60 in Alaska, with a median of 79.1% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90838?
Alaska publishes the highest Medicaid rate for 90838 at $257.60 (188.6% of the national Medicare amount). Illinois publishes the lowest at $71.79.
Does 90838 require prior authorization under Medicaid?
1 of the 44 publishing states flag 90838 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".