74190 Medicaid reimbursement rates by state

Imaging and radiology. 34 state Medicaid programs publish a fee-for-service rate for 74190 at the physician psychologist level. Rates run from $12.80 in Washington to $466.62 in Oklahoma, with a median of $40.80.

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

States publishing: 34
Median rate: $40.80units vary by state
Highest: $466.62Oklahoma
Medicare (non-facility): —not on the physician fee schedule

74190 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
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$466.62⚠ over 3× mediansince 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$432.46⚠ over 3× mediansince 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$143.45⚠ over 3× mediansince 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$107.80since 2017-07-01	—	—	Not classified	—	SCDHHS Physician Assistant/Nurse Practit
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$64.00since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$61.37since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$51.69since 2024-01-01	—	—	Plans must pay at least this	—	Provider Type 20 Physician, MD., Osteopa
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$51.03since 2024-01-01	unit	—	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)	$49.03since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$47.46since 2025-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$47.00since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$46.33since 2024-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$46.05since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$44.82since 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$44.39since 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)	$44.24since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$41.16since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$40.43since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$38.40since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$38.00since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$37.75since 2010-10-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$36.14since 2018-02-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$35.20since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$34.53since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$32.65since 2023-10-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$31.76since 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)	$27.46since 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$26.56since 2023-07-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
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
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$20.15since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Enhanced Professional
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$19.75since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$17.32since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$16.30since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$12.80since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched

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 74190?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $40.80. Oklahoma pays the most ($466.62) and Washington the least ($12.80).

Which state pays the highest Medicaid rate for 74190?

Oklahoma, at $466.62, effective 2026-07-01.

Do managed-care plans pay the same rate for 74190?

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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