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74178 Medicaid reimbursement rates by state

Imaging and radiology. 34 state Medicaid programs publish a fee-for-service rate for 74178 at the physician psychologist level. Rates run from $78.87 in Texas to $623.19 in Nebraska, with a median of $211.93.

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

States publishing
34
Median rate
$211.93units vary by state
Highest
$623.19Nebraska
Medicare (non-facility)
$297.86–$461.152026 physician fee schedule

74178 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$623.19since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$348.77since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$319.24since 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)$298.83since 2016-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$297.62since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$290.17since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$287.41since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$282.92since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$281.71since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$272.95since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$266.02since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$263.47since 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)$260.35since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$239.70since 2011-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$222.06since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$217.89since 2011-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$212.38since 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)$211.47since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$209.58since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$209.21since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$207.14since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$204.88since 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)$204.32since 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)$200.21since 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)$197.54since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$189.86since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$182.69since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$178.80since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$156.34since 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$154.60since 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)$127.17since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$107.35since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$83.28since 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)$78.87since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi

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 74178?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $211.93. Nebraska pays the most ($623.19) and Texas the least ($78.87).

Which state pays the highest Medicaid rate for 74178?

Nebraska, at $623.19, effective 2026-07-01.

Do managed-care plans pay the same rate for 74178?

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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