76516 Medicaid reimbursement rates by state

Imaging and radiology. 35 state Medicaid programs publish a fee-for-service rate for 76516 at the physician psychologist level. Rates run from $13.17 in New Jersey to $64.00 in Alabama, with a median of $25.53.

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

States publishing: 35
Median rate: $25.53units vary by state
Highest: $64.00Alabama
Medicare (non-facility): $42.64–$63.942026 physician fee schedule

76516 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
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$64.00since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$62.50since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$61.00since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$57.38since 2022-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Vision fee schedule (2022Vis
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$52.79since 2024-01-01	—	—	Plans must pay at least this	—	Provider Type 20 Physician, MD., Osteopa
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$49.57since 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)	$44.25since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$42.47since 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)	$42.32since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$42.31since 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Practitioner
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$42.29since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$42.10since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$41.98since 2016-08-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$37.05since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)	$36.76since 2015-03-30	—	—	Plans negotiate; applies out of network	—	PA DHS PROMISe Outpatient Fee Schedule (
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$34.77since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Vision (
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$29.88since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$25.53since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$21.99since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$21.63since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$21.19since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$20.65since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$20.65since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$20.43since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Enhanced Professional
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$19.78since 2025-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$19.74since 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)	$19.64since 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$19.48since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$19.35since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Radiology 7
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$19.17since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$18.96since 2024-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$17.23since 2024-07-01	—	—	Not classified	—	SCDHHS Base Physician Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$16.19since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Vision Fee Schedule database, Janu
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$16.05since 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)	$13.17since 2026-07-01	—	—	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 76516?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $25.53. Alabama pays the most ($64.00) and New Jersey the least ($13.17).

Which state pays the highest Medicaid rate for 76516?

Alabama, at $64.00, effective 2026-04-10.

Do managed-care plans pay the same rate for 76516?

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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