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72220 Medicaid reimbursement rates by state

Imaging and radiology. 50 state Medicaid programs publish a fee-for-service rate for 72220 at the physician psychologist level. Rates run from $7.29 in District of Columbia to $35.74 in Arizona, with a median of $19.43.

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

States publishing
50
Median rate
$19.43units vary by state
Highest
$35.74Arizona
Medicare (non-facility)
$28.11–$43.752026 physician fee schedule

72220 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
ArizonaPhysician or licensed psychologist (incl. BCBA-D) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$35.74since 2024-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$34.93since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$33.33since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$31.74since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$29.60since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$28.38since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$27.40since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$26.89since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$26.28since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$25.02since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$24.70since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$23.03since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$22.93since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$22.53since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$21.63since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$21.13since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$20.92since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$20.65since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$20.55since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$20.20since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$19.96since 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)$19.79since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$19.51since 2023-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$19.48since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$19.47since 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)$19.39since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$19.28since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$18.96since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$18.72since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$18.58since 2010-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$18.34since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$18.22since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$17.87since 2026-01-01——Not classified—Maryland Medicaid Professional Services
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$17.00since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$16.48since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$15.73since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$15.60since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$15.46since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$15.13since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$15.12since 2026-01-01——Plans negotiate; applies out of network—MDHHS Chiropractors Fee Schedule, Januar
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$14.91since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$14.88since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$14.82since 2015-05-01——Not classified—CMAP fee schedule: Independent Radiology
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$13.27since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$12.38since 2000-01-01——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)$10.02since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$8.96since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)$8.04since 2009-05-27——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$7.43since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$7.29since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep

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 72220?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $19.43. Arizona pays the most ($35.74) and District of Columbia the least ($7.29).

Which state pays the highest Medicaid rate for 72220?

Arizona, at $35.74, effective 2024-10-01.

Do managed-care plans pay the same rate for 72220?

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

Track 72220 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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