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74021 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $24.32 for 74021 across 50 states, from $8.05 in Rhode Island to $46.91 in Arizona.

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

States publishing
50
National median
$24.32units vary by state
Lowest
$8.05Rhode Island
Highest
$46.91Arizona

What does Medicaid pay for 74021?

50 state Medicaid programs publish a fee-for-service rate for 74021 at the physician psychologist level. The national median is $24.32 (units differ between states). Arizona pays the most, $46.91, and Rhode Island the least, $8.05, a 5.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $37.15–$57.20 depending on the state's Medicare locality.

74021 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2024-10-01$46.91——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$43.85——Not classified—
3Montana Source · since 2026-07-01$41.79——Not classified—
25Texas Source · since 2023-09-01$24.32——Plans negotiate; applies out of network—
26Massachusetts Source · since 2026-10-01$24.31——Plans negotiate; applies out of network—
27Maryland Source · since 2026-01-01$24.22——Not classified—
49New York Source · since 2023-10-01$11.19unit—Plans negotiate; applies out of network—
50Rhode Island Source · since 2018-01-01$8.05——Plans negotiate; applies out of network—
See all 50 states for 74021 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 74021 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 74021?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $24.32. Arizona pays the most ($46.91) and Rhode Island the least ($8.05).

Which state pays the highest Medicaid rate for 74021?

Arizona, at $46.91, effective 2024-10-01.

Do managed-care plans pay the same rate for 74021?

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 workspace shows the rule for each state, cited to the contract or statute.