The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90875. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
15
Median % of Medicare
--
Rate range
$27.93 - $80.33
90875 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $60.32 | -- | -- | 2025 |
| Connecticut | $80.33 | -- | -- | 2026 |
| Delaware | $59.00 | -- | -- | 2026 |
| Iowa | $59.71 | -- | -- | 2024 |
| Illinois | $27.93 | -- | -- | 2026 |
| Kentucky | $31.67 | -- | -- | 2026 |
| Massachusetts | $43.64 | -- | -- | 2026 |
| Maryland | $77.77 | -- | -- | 2026 |
| Minnesota | $49.07 | -- | Conditional | 2026 |
| North Dakota | $66.46 | -- | Not required | 2026 |
| New Hampshire | $31.43 | -- | Not required | 2026 |
| Nevada | $57.09 | -- | -- | 2024 |
| Pennsylvania | $44.57 | -- | -- | 2025 |
| Wisconsin | $54.65 | -- | -- | 2022 |
| West Virginia | $42.70 | -- | -- | 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
Frequently asked questions
How much does Medicaid pay for 90875?
15 state Medicaid programs publish a fee-for-service rate for 90875 (psychotherapy with biofeedback, 30 minutes), ranging from $27.93 in Illinois to $80.33 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90875?
Connecticut publishes the highest Medicaid rate for 90875 at $80.33. Illinois publishes the lowest at $27.93.
Does 90875 require prior authorization under Medicaid?
1 of the 15 publishing states flag 90875 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".