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75872 Medicaid reimbursement rates by state

Imaging and radiology. 43 state Medicaid programs publish a fee-for-service rate for 75872 at the physician psychologist level. Rates run from $37.95 in New Jersey to $511.22 in Nebraska, with a median of $70.77.

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

States publishing
43
Median rate
$70.77units vary by state
Highest
$511.22Nebraska
Medicare (non-facility)
$112.07–$146.702026 physician fee schedule

75872 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$511.22⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$428.28⚠ over 3× mediansince 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)$418.44⚠ over 3× mediansince 2024-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #68 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$340.35⚠ over 3× mediansince 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$339.00⚠ over 3× mediansince 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$240.00⚠ over 3× mediansince 1996-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$217.99since 2017-07-01——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)$203.90since 2010-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$174.44since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$129.95since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$127.15since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$117.97since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$116.25since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$115.81since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$110.73since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$102.82since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$97.00since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$81.54since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$77.91since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$75.60since 2017-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$75.53since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$70.77since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$66.22since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$63.37since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$63.15since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$61.73since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$61.09since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$60.40since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$60.14since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$59.56since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$59.08since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$58.81since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$57.89since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$56.89since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$56.61since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$56.38since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$52.42since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$48.58since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$47.23since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$46.85since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$46.65since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$46.06since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$37.95since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 75872?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $70.77. Nebraska pays the most ($511.22) and New Jersey the least ($37.95).

Which state pays the highest Medicaid rate for 75872?

Nebraska, at $511.22, effective 2026-07-01.

Do managed-care plans pay the same rate for 75872?

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

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Medicaid rates by state
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