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76805 Medicaid reimbursement rates by state

Imaging and radiology. 45 state Medicaid programs publish a fee-for-service rate for 76805 at the physician psychologist level. Rates run from $36.00 in Rhode Island to $140.57 in Arizona, with a median of $71.53.

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

States publishing
45
Median rate
$71.53units vary by state
Highest
$140.57Arizona
Medicare (non-facility)
$120.54–$183.152026 physician fee schedule

76805 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$140.57since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$124.89since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$122.75since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$110.06since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$107.58since 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)$99.62since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$98.15since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$94.32since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$91.55since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$90.20since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$86.10since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$85.97since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$85.35since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$77.56since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$77.39since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$77.39since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$76.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$75.04since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$74.97since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$74.21since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$73.36since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$72.38since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$71.53since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$71.38since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$71.29since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$71.18since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$70.37since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid MOMS (Medicaid Obstetrical and Maternal Services) enhanced fees$70.30since 2022-04-01unit—Not classified—eMedNY Physician Enhanced Program Fee Sc
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$69.52since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$69.14since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$68.78since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$68.70since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$67.58since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$62.22since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$59.03since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$56.80since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$56.66since 2026-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$56.61since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$55.99since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$46.50since 2009-05-23——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$46.09since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$43.43since 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)$43.22since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$37.82since 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)$36.00since 1993-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For 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 76805?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $71.53. Arizona pays the most ($140.57) and Rhode Island the least ($36.00).

Which state pays the highest Medicaid rate for 76805?

Arizona, at $140.57, effective 2026-10-01.

Do managed-care plans pay the same rate for 76805?

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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Medicaid rates by state
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