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70472 Medicaid reimbursement rates by state

Imaging and radiology. 35 state Medicaid programs publish a fee-for-service rate for 70472 at the physician psychologist level. Rates run from $28.46 in Pennsylvania to $173.09 in Hawaii, with a median of $99.62.

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

States publishing
35
Median rate
$99.62units vary by state
Highest
$173.09Hawaii
Medicare (non-facility)
$137.21–$186.432026 physician fee schedule

70472 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
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$173.09since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$168.55since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$161.34since 2026-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$161.11since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$149.56since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$126.88since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$125.04since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$123.58since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$121.96since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$116.12since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$106.92since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$105.91since 2026-03-25——Not classified—Arkansas Medicaid Physician / CRNA / Fam
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$105.41since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$103.17since 2026-01-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$102.33since 2026-01-01——Not classified—Maryland Medicaid Professional Services
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$101.53since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$100.22since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$99.62since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$99.15since 2026-01-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$96.50since 2026-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$95.49since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$94.76since 2026-01-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$93.26since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$92.88since 2026-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$79.80since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$76.47since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$76.13since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$75.68since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$74.28since 2026-01-01——Not classified—CMAP fee schedule: Independent Radiology
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$74.10since 2026-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$48.09since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$35.75since 2026-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$31.02since 2026-04-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$30.59since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$28.46since 2026-08-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 70472?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $99.62. Hawaii pays the most ($173.09) and Pennsylvania the least ($28.46).

Which state pays the highest Medicaid rate for 70472?

Hawaii, at $173.09, effective 2026-06-01.

Do managed-care plans pay the same rate for 70472?

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.

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Medicaid rates by state
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