MedicaidRateStart free trial

76821 Medicaid reimbursement rates by state

Imaging and radiology. 44 state Medicaid programs publish a fee-for-service rate for 76821 at the physician psychologist level. Rates run from $29.07 in New York to $93.12 in Arizona, with a median of $48.13.

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

States publishing
44
Median rate
$48.13units vary by state
Highest
$93.12Arizona
Medicare (non-facility)
$80.21–$121.292026 physician fee schedule

76821 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)$93.12since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$82.17since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$80.76since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$80.51since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$79.82since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$75.17since 2018-01-01——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)$73.86since 2023-07-01——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)$71.37since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$69.96since 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$66.50since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$65.49since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$59.63since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$59.19since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$57.90since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$57.65since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$57.11since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$56.28since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$55.73since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$54.95since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$49.09since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$48.77since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$48.25since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$48.00since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$47.62since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$47.44since 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)$46.28since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$45.00since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$44.66since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$44.19since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$43.97since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$43.51since 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)$43.43since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$42.66since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$37.75since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$36.21since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$36.11since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$35.87since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$35.74since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$35.71since 2005-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$34.43since 2024-07-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$30.57since 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)$30.45since 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)$29.46since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$29.07since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra

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 76821?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $48.13. Arizona pays the most ($93.12) and New York the least ($29.07 per unit).

Which state pays the highest Medicaid rate for 76821?

Arizona, at $93.12, effective 2026-10-01.

Do managed-care plans pay the same rate for 76821?

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.

Related Radiology codes

70010Imaging and radiology · 45 states70015Imaging and radiology · 45 states70030Imaging and radiology · 45 states70100Imaging and radiology · 45 states70110Imaging and radiology · 45 states70120Imaging and radiology · 45 states70130Imaging and radiology · 45 states70134Imaging and radiology · 45 states70140Imaging and radiology · 45 states70150Imaging and radiology · 45 states70160Imaging and radiology · 45 states70170Imaging and radiology · 45 states
Track 76821 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsin