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Billing code 75716 · Radiology

75716 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $96.50 for 75716 across 49 states, from $45.21 in New Jersey to $521.32 in Nebraska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$96.50units vary by state
Lowest
$45.21New Jersey
Highest
$521.32Nebraska
Answer

What does Medicaid pay for 75716?

49 state Medicaid programs publish a fee-for-service rate for 75716. The national median is $96.50 (units differ between states). Nebraska pays the most, $521.32, and New Jersey the least, $45.21, a 11.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $146.13–$206.31 depending on the state's Medicare locality.

State ranking

75716 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$521.32——Plans negotiate; applies out of network—
2Georgia Source · since 2017-01-01$428.28——Plans negotiate; applies out of network—
3Iowa Source · since 2024-07-01$425.57——Plans must pay at least this—
24Utah Source · since 2026-07-01$96.85——Plans negotiate; applies out of network—
25North Dakota Source · since 2026-07-01$96.50——Not classified—
26Maryland Source · since 2026-01-01$93.07——Not classified—
48Washington Source · since 2026-07-01$52.74——Plans negotiate; applies out of network—
49New Jersey Source · since 2026-07-01$45.21——Not classified—
See all 49 states for 75716 — start free

41 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.

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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 75716 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 75716?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $96.50. Nebraska pays the most ($521.32) and New Jersey the least ($45.21).

Which state pays the highest Medicaid rate for 75716?

Nebraska, at $521.32, effective 2026-07-01.

Do managed-care plans pay the same rate for 75716?

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.