72255 Medicaid reimbursement rates by state

Imaging and radiology. 25 state Medicaid programs publish a fee-for-service rate for 72255 at the physician psychologist level. Rates run from $15.75 in Pennsylvania to $184.09 in Nebraska, with a median of $56.52.

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

States publishing: 25
Median rate: $56.52units vary by state
Highest: $184.09Nebraska
Medicare (non-facility): $94.16–$138.592026 physician fee schedule

72255 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$184.09⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$147.24since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Physician Maximum Allowed Fee Schedule -
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$117.09since 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)	$107.64since 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)	$87.90since 2024-01-01	—	—	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)	$87.02since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$85.90since 2010-12-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$78.38since 2017-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)	$75.27since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Physician Serv
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$68.11since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$59.39since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$58.70since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$56.52since 2026-01-01	unit	—	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)	$53.82since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$52.12since 2025-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$48.88since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$48.32since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$47.78since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$47.18since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Enhanced Professional
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$45.45since 2024-07-01	—	—	Not classified	—	SCDHHS Base Physician Fee Schedule (sche
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$39.62since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$39.47since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$39.18since 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)	$21.10since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
PennsylvaniaPhysician or licensed psychologist (incl. BCBA-D) · Pennsylvania Medical Assistance (fee-for-service)	$15.75since 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 72255?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $56.52. Nebraska pays the most ($184.09) and Pennsylvania the least ($15.75).

Which state pays the highest Medicaid rate for 72255?

Nebraska, at $184.09, effective 2026-07-01.

Do managed-care plans pay the same rate for 72255?

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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