The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90885. 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
13
Median % of Medicare
--
Rate range
$27.38 - $57.60
90885 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $57.60* | -- | -- | 2026 |
| California | $38.91 | -- | -- | 2026 |
| Delaware | $47.26 | -- | -- | 2026 |
| Iowa | $39.92 | -- | -- | 2024 |
| Idaho | $33.12 | -- | Not required | 2025 |
| Massachusetts | $35.13 | -- | -- | 2026 |
| Missouri | $43.14 | -- | Not required | 2022 |
| New Hampshire | $27.38 | -- | Not required | 2026 |
| New Mexico | $51.42 | -- | -- | 2026 |
| South Carolina | $31.76 | -- | -- | 2024 |
| Utah | $37.20* | -- | Not required | 2026 |
| Virginia | $49.51 | -- | -- | 2026 |
| West Virginia | $34.16 | -- | -- | 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 90885?
13 state Medicaid programs publish a fee-for-service rate for 90885 (psychiatric evaluation of records and reports), ranging from $27.38 in New Hampshire to $57.60 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90885?
Arkansas publishes the highest Medicaid rate for 90885 at $57.60. New Hampshire publishes the lowest at $27.38.
Does 90885 require prior authorization under Medicaid?
No publishing state flags 90885 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.