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Billing code 75831 · Radiology

75831 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $74.79 for 75831 across 48 states, from $35.69 in New Jersey to $500.66 in Nebraska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$74.79units vary by state
Lowest
$35.69New Jersey
Highest
$500.66Nebraska
Answer

What does Medicaid pay for 75831?

48 state Medicaid programs publish a fee-for-service rate for 75831. The national median is $74.79 (units differ between states). Nebraska pays the most, $500.66, and New Jersey the least, $35.69, a 14.0x spread.

Medicare (non-facility, 2026 physician fee schedule): $106.10–$140.88 depending on the state's Medicare locality.

State ranking

75831 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$500.66——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$418.44——Plans must pay at least this—
24Arkansas Source · since 2025-06-13$75.53——Not classified—
25New Mexico Source · since 2017-01-01$74.05——Plans must pay at least this—
26Delaware Source · since 2026-01-01$66.56——Plans negotiate; applies out of network—
47Washington Source · since 2026-07-01$43.38——Plans negotiate; applies out of network—
48New Jersey Source · since 2026-07-01$35.69——Not classified—
See all 48 states for 75831 — start free

40 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 75831 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 75831?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $74.79. Nebraska pays the most ($500.66) and New Jersey the least ($35.69).

Which state pays the highest Medicaid rate for 75831?

Nebraska, at $500.66, effective 2026-07-01.

Do managed-care plans pay the same rate for 75831?

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.