The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90889. 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
10
Median % of Medicare
--
Rate range
$32.38 - $252.00
90889 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $60.34 | -- | -- | 2020 |
| California | $36.71 | -- | -- | 2026 |
| Idaho | $46.61 | -- | Not required | 2025 |
| Massachusetts | $43.18 | -- | -- | 2025 |
| Maryland | $32.38 | -- | -- | 2026 |
| New Hampshire | $49.28 | -- | Not required | 2026 |
| New Mexico | $42.80 | -- | -- | 2026 |
| Utah | $226.30* | -- | Required | 2024 |
| Virginia | $252.00* | -- | -- | 2011 |
| Washington | $52.29* | -- | -- | 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 90889?
10 state Medicaid programs publish a fee-for-service rate for 90889 (psychiatric report preparation for other parties), ranging from $32.38 in Maryland to $252.00 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90889?
Virginia publishes the highest Medicaid rate for 90889 at $252.00. Maryland publishes the lowest at $32.38.
Does 90889 require prior authorization under Medicaid?
1 of the 10 publishing states flag 90889 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".