How Much Does Medicaid Pay for Therapy & Counseling?
Individual, family, and group psychotherapy sessions covered by Medicaid.
Service Therapy & Counseling Year 2024 Codes 8
Medicaid therapy & counseling reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $4.84 in Puerto Rico to $203.45 in Alaska — a 42.0x difference.
53 states reported therapy & counseling claims to HHS in 2024, covering 8 procedure codes. The data below is based on official Medicaid claims records published by the U.S. Department of Health and Human Services.
Included Procedure Codes
Average Payment by State
| State | Value |
|---|---|
| Alabama | $72.35 |
| Alaska | $203.45 |
| Arizona | $67.31 |
| Arkansas | $83.16 |
| California | $169.84 |
| Colorado | $110.77 |
| Connecticut | $50.64 |
| Delaware | $50.42 |
| District of Columbia | $91.39 |
| Florida | $26.58 |
| Georgia | $80.99 |
| Hawaii | $139.11 |
| Idaho | $76.45 |
| Illinois | $74.10 |
| Indiana | $65.12 |
| Iowa | $84.18 |
| Kansas | $55.89 |
| Kentucky | $59.79 |
| Louisiana | $18.08 |
| Maine | $35.27 |
| Maryland | $119.73 |
| Massachusetts | $79.52 |
| Michigan | $101.32 |
| Minnesota | $123.27 |
| Mississippi | $89.13 |
| Missouri | $44.73 |
| Montana | $63.35 |
| Nebraska | $126.21 |
| Nevada | $70.61 |
| New Hampshire | $87.47 |
| New Jersey | $76.73 |
| New Mexico | $115.81 |
| New York | $113.14 |
| North Carolina | $77.35 |
| North Dakota | $96.25 |
| Ohio | $83.46 |
| Oklahoma | $43.21 |
| Oregon | $155.10 |
| Pennsylvania | $92.26 |
| Puerto Rico | $4.84 |
| Rhode Island | $77.27 |
| South Carolina | $126.91 |
| South Dakota | $96.48 |
| Tennessee | $60.01 |
| Texas | $61.64 |
| U.S. Virgin Islands | $162.91 |
| Utah | $127.19 |
| Vermont | $61.87 |
| Virginia | $85.51 |
| Washington | $78.60 |
| West Virginia | $55.10 |
| Wisconsin | $58.34 |
| Wyoming | $68.41 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $72.35 | 429,548 | $31,079,375.64 | 6 |
| Alaska | $203.45 | 145,959 | $29,695,124.98 | 7 |
| Arizona | $67.31 | 208,615 | $14,042,392.17 | 7 |
| Arkansas | $83.16 | 658,430 | $54,757,630.15 | 6 |
| California | $169.84 | 5,715,931 | $970,783,614.47 | 8 |
| Colorado | $110.77 | 867,541 | $96,097,444.75 | 7 |
| Connecticut | $50.64 | 2,033,425 | $102,979,884.97 | 7 |
| Delaware | $50.42 | 115,269 | $5,811,717.97 | 6 |
| District of Columbia | $91.39 | 166,096 | $15,178,701.06 | 7 |
| Florida | $26.58 | 303,420 | $8,065,866.73 | 6 |
| Georgia | $80.99 | 234,733 | $19,010,982.15 | 7 |
| Hawaii | $139.11 | 102,608 | $14,273,312.51 | 7 |
| Idaho | $76.45 | 151,213 | $11,560,119.47 | 6 |
| Illinois | $74.10 | 796,291 | $59,001,647.33 | 6 |
| Indiana | $65.12 | 1,887,605 | $122,927,172.94 | 7 |
| Iowa | $84.18 | 708,026 | $59,604,256.86 | 7 |
| Kansas | $55.89 | 219,038 | $12,242,667.60 | 8 |
| Kentucky | $59.79 | 1,975,615 | $118,113,241.07 | 8 |
| Louisiana | $18.08 | 461,439 | $8,344,208.70 | 7 |
| Maine | $35.27 | 144,249 | $5,087,849.66 | 7 |
| Maryland | $119.73 | 3,129,839 | $374,728,796.99 | 8 |
| Massachusetts | $79.52 | 2,006,337 | $159,540,835.85 | 7 |
| Michigan | $101.32 | 2,156,435 | $218,481,612.98 | 7 |
| Minnesota | $123.27 | 1,107,494 | $136,519,533.36 | 8 |
| Mississippi | $89.13 | 422,701 | $37,677,029.85 | 6 |
| Missouri | $44.73 | 561,603 | $25,120,494.17 | 7 |
| Montana | $63.35 | 387,011 | $24,515,229.04 | 8 |
| Nebraska | $126.21 | 242,619 | $30,620,852.98 | 8 |
| Nevada | $70.61 | 380,906 | $26,897,107.19 | 8 |
| New Hampshire | $87.47 | 263,682 | $23,063,220.55 | 7 |
| New Jersey | $76.73 | 1,653,544 | $126,882,597.37 | 6 |
| New Mexico | $115.81 | 727,949 | $84,300,372.00 | 7 |
| New York | $113.14 | 4,641,156 | $525,109,627.02 | 8 |
| North Carolina | $77.35 | 1,369,201 | $105,913,685.63 | 6 |
| North Dakota | $96.25 | 54,592 | $5,254,711.66 | 5 |
| Ohio | $83.46 | 2,948,795 | $246,092,963.65 | 8 |
| Oklahoma | $43.21 | 60,614 | $2,619,387.72 | 7 |
| Oregon | $155.10 | 751,807 | $116,604,600.97 | 8 |
| Pennsylvania | $92.26 | 3,603,121 | $332,419,734.20 | 6 |
| Puerto Rico | $4.84 | 214,124 | $1,036,474.84 | 6 |
| Rhode Island | $77.27 | 276,879 | $21,393,359.85 | 7 |
| South Carolina | $126.91 | 581,039 | $73,741,456.88 | 7 |
| South Dakota | $96.48 | 116,639 | $11,253,533.37 | 6 |
| Tennessee | $60.01 | 992,872 | $59,578,432.43 | 6 |
| Texas | $61.64 | 993,069 | $61,209,984.36 | 8 |
| U.S. Virgin Islands | $162.91 | 3,425 | $557,972.74 | 4 |
| Utah | $127.19 | 519,692 | $66,098,171.08 | 8 |
| Vermont | $61.87 | 242,393 | $14,997,891.47 | 6 |
| Virginia | $85.51 | 1,218,925 | $104,226,369.73 | 8 |
| Washington | $78.60 | 738,083 | $58,012,345.64 | 7 |
| West Virginia | $55.10 | 278,155 | $15,327,391.00 | 6 |
| Wisconsin | $58.34 | 643,674 | $37,553,568.29 | 7 |
| Wyoming | $68.41 | 56,969 | $3,897,024.52 | 5 |