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75842 Medicaid reimbursement rates by state

Imaging and radiology. 12 state Medicaid programs publish a fee-for-service rate for 75842 at the physician psychologist level. Rates run from $56.66 in Michigan to $428.28 in Georgia, with a median of $132.37.

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

States publishing
12
Median rate
$132.37units vary by state
Highest
$428.28Georgia
Medicare (non-facility)
—not on the physician fee schedule

75842 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$428.28since 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)$427.08since 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)$340.35since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$168.28since 2021-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$153.28since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$145.05since 2022-01-01——Plans negotiate; applies out of network—Radiology Rates, effective January 1, 20
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$119.69since 2025-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$98.84since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$95.76since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$92.08since 2017-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$70.84since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$56.66since 2024-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac

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 75842?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $132.37. Georgia pays the most ($428.28) and Michigan the least ($56.66).

Which state pays the highest Medicaid rate for 75842?

Georgia, at $428.28, effective 2017-01-01.

Do managed-care plans pay the same rate for 75842?

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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