74263 Medicaid reimbursement rates by state

Imaging and radiology. 23 state Medicaid programs publish a fee-for-service rate for 74263 at the physician psychologist level. Rates run from $8.10 in New Jersey to $859.72 in Arizona, with a median of $359.48.

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

States publishing: 23
Median rate: $359.48units vary by state
Highest: $859.72Arizona
Medicare (non-facility): $726.48–$986.032026 physician fee schedule

74263 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$859.72since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)	$803.44since 2026-07-01	—	—	Not classified	—	South Dakota Medicaid Physician fee sche
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)	$606.07since 2026-01-01	—	—	Not classified	—	Vermont Medicaid Fee Schedule - CPT Code
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$544.75since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$523.35since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$495.98since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$487.49since 2024-02-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$464.70since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$455.82since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$381.13since 2024-07-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Nurse Midwives Fee Schedule (sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$380.69since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$359.48since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$293.36since 2026-07-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$285.08since 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)	$260.56since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)	$236.05since 2026-01-01	—	—	Plans negotiate; applies out of network	—	DMAP 2026 Physician Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$172.66since 2012-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)	$154.21since 2026-04-01	—	—	Plans negotiate; applies out of network	—	BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$115.33since 2019-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$99.13since 2010-12-06	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$97.65since 2023-01-01	unit	—	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)	$90.10since 2025-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$8.10since 2014-07-01	base unit	—	Not classified	—	NJMMIS Procedure Master Listing CPTCodes

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 74263?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $359.48. Arizona pays the most ($859.72) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 74263?

Arizona, at $859.72, effective 2026-10-01.

Do managed-care plans pay the same rate for 74263?

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 74263 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.

Start free trial Pricing