76016 Medicaid reimbursement rates by state

Imaging and radiology. 19 state Medicaid programs publish a fee-for-service rate for 76016 at the physician psychologist level. Rates run from $23.10 in New Jersey to $74.36 in Arizona, with a median of $36.36.

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

States publishing: 19
Median rate: $36.36units vary by state
Highest: $74.36Arizona
Medicare (non-facility): $64.81–$82.222026 physician fee schedule

76016 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$74.36since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$60.39since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$58.29since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$55.31since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$53.14since 2025-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$40.28since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$38.47since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$38.19since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$37.19since 2025-01-01	—	—	Plans negotiate; applies out of network	—	Schedule of Maximum Allw Pymt Physician
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$36.36since 2026-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$36.24since 2025-01-01	—	—	Plans negotiate; applies out of network	—	Administrative Bulletin 25-03: 101 CMR 3
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$35.41since 2025-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2025
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$34.79since 2025-01-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$33.68since 2025-01-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$30.02since 2025-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$28.12since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Practitioner and Medical Clinic Fe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$27.64since 2025-01-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$25.93since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Enhanced Professional
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$23.10since 2026-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS

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 76016?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $36.36. Arizona pays the most ($74.36) and New Jersey the least ($23.10).

Which state pays the highest Medicaid rate for 76016?

Arizona, at $74.36, effective 2026-10-01.

Do managed-care plans pay the same rate for 76016?

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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