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72156 Medicaid reimbursement rates by state

Imaging and radiology. 35 state Medicaid programs publish a fee-for-service rate for 72156 at the physician psychologist level. Rates run from $70.00 in Pennsylvania to $846.32 in Georgia, with a median of $207.57.

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

States publishing
35
Median rate
$207.57units vary by state
Highest
$846.32Georgia
Medicare (non-facility)
$281.81–$428.952026 physician fee schedule

72156 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$846.32⚠ over 3× mediansince 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$840.12⚠ over 3× mediansince 2024-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #68 PHYSICIAN
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$681.00⚠ over 3× mediansince 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$672.42since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$652.90since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$615.27since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$548.83since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$378.51since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$378.17since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$328.59since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$320.03since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$313.24since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$311.13since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$288.59since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$248.76since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$247.26since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$226.52since 2026-01-01——Not classified—Maryland Medicaid Professional Services
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$207.57since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$193.13since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$184.02since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$183.96since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$177.51since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$176.40since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$173.48since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$171.86since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$165.21since 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)$164.50since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$155.01since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$146.24since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$135.47since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$133.96since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$110.19since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$95.21since 2023-10-01unit—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)$90.38since 2025-03-01——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)$70.00since 2009-05-27——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 72156?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $207.57. Georgia pays the most ($846.32) and Pennsylvania the least ($70.00).

Which state pays the highest Medicaid rate for 72156?

Georgia, at $846.32, effective 2017-01-01.

Do managed-care plans pay the same rate for 72156?

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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