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38215 Medicaid reimbursement rates by state

Imaging and radiology. 11 state Medicaid programs publish a fee-for-service rate for 38215 at the physician psychologist level. Rates run from $23.51 in Washington to $373.51 in Missouri, with a median of $36.47.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
11
Median rate
$36.47units vary by state
Highest
$373.51Missouri
Medicare (non-facility)
—not on the physician fee schedule

38215 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$373.51⚠ over 3× mediansince 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$51.86since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$50.08since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$42.14since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$37.56since 2008-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$36.47since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$34.66since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$31.94since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$29.58since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$25.77since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$23.51since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 38215?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $36.47. Missouri pays the most ($373.51) and Washington the least ($23.51).

Which state pays the highest Medicaid rate for 38215?

Missouri, at $373.51, effective 2019-07-01.

Do managed-care plans pay the same rate for 38215?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Radiology codes

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