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76812 Medicaid reimbursement rates by state

Imaging and radiology. 49 state Medicaid programs publish a fee-for-service rate for 76812 at the physician psychologist level. Rates run from $52.63 in Rhode Island to $201.12 in Arizona, with a median of $91.83.

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

States publishing
49
Median rate
$91.83units vary by state
Highest
$201.12Arizona
Medicare (non-facility)
$174.03–$257.992026 physician fee schedule

76812 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)$201.12since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$185.45since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$173.13since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$164.63since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$161.01since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$153.76since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$153.06since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$122.03since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$121.07since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$120.61since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$119.48since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$119.18since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$119.06since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$110.56since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$105.37since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$105.20since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$104.62since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$97.47since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$97.27since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$93.96since 2026-01-01unit—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)$93.93since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$93.20since 2026-01-01——Not classified—Maryland Medicaid Professional Services
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$92.25since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$92.03since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$91.83since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$90.97since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$88.75since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid MOMS (Medicaid Obstetrical and Maternal Services) enhanced fees$88.29since 2022-04-01unit—Not classified—eMedNY Physician Enhanced Program Fee Sc
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$86.64since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$86.29since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$85.91since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$84.50since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$84.41since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$84.30since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$83.74since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$83.50since 2020-05-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$80.68since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$77.50since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$77.13since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$75.51since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$74.68since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$72.39since 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)$71.05since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$69.54since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$69.44since 2026-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$68.60since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$65.04since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Radiology - P
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$56.48since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$52.63since 2003-01-01——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 76812?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $91.83. Arizona pays the most ($201.12) and Rhode Island the least ($52.63).

Which state pays the highest Medicaid rate for 76812?

Arizona, at $201.12, effective 2026-10-01.

Do managed-care plans pay the same rate for 76812?

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
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming