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Billing code 75894 · Radiology

75894 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $159.04 for 75894 across 48 states, from $49.24 in Alabama to $942.38 in Indiana.

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

States publishing
48
National median
$159.04units vary by state
Lowest
$49.24Alabama
Highest
$942.38Indiana
Answer

What does Medicaid pay for 75894?

48 state Medicaid programs publish a fee-for-service rate for 75894. The national median is $159.04 (units differ between states). Indiana pays the most, $942.38 per unit, and Alabama the least, $49.24, a 19.1x spread.

Medicare (non-facility, 2026 physician fee schedule): $276.45–$378.72 depending on the state's Medicare locality.

State ranking

75894 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
1Indiana Source · since 2024-01-01$942.38unit—Plans must pay at least this—
2Wisconsin Source · since 2008-07-01$883.66——Plans negotiate; applies out of network—
3New Hampshire Source · since 2025-01-01$882.34——Plans negotiate; applies out of network—
24Vermont Source · since 2026-01-01$160.13——Not classified—
25Oklahoma Source · since 2026-07-01$157.95——Plans must pay at least this—
26Mississippi Source · since 2026-07-01$146.39——Plans must pay at least this—
47Massachusetts Source · since 2026-10-01$51.47——Plans negotiate; applies out of network—
48Alabama Source · since 2026-04-10$49.24——Not classified—
See all 48 states for 75894 — 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 75894 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 75894?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $159.04. Indiana pays the most ($942.38 per unit) and Alabama the least ($49.24).

Which state pays the highest Medicaid rate for 75894?

Indiana, at $942.38 per unit, effective 2024-01-01.

Do managed-care plans pay the same rate for 75894?

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.