76856 Medicaid reimbursement rates by state

Imaging and radiology. 29 state Medicaid programs publish a fee-for-service rate for 76856 at the physician psychologist level. Rates run from $27.79 in Texas to $108.70 in Arizona, with a median of $58.86.

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

States publishing: 29
Median rate: $58.86units vary by state
Highest: $108.70Arizona
Medicare (non-facility): $93.97–$142.772026 physician fee schedule

76856 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)	$108.70since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$86.99since 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)	$81.82since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$73.93since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$71.50since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$71.19since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$69.96since 2012-01-01	—	—	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)	$68.70since 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)	$67.65since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$65.15since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Local Health D
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$64.43since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$61.77since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$61.45since 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)	$59.56since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$58.86since 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)	$57.49since 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)	$55.34since 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)	$53.99since 2019-07-01	—	—	Plans negotiate; applies out of network	—	SCDHHS End Stage Renal Disease (ESRD) Fe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$52.03since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Physician Maximum Allowed Fee Schedule -
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$51.83since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$51.80since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
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 (
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$46.43since 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	$45.86since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$41.32since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$37.77since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$32.48since 2025-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$29.09since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$27.79since 2018-01-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi

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 76856?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $58.86. Arizona pays the most ($108.70) and Texas the least ($27.79).

Which state pays the highest Medicaid rate for 76856?

Arizona, at $108.70, effective 2026-10-01.

Do managed-care plans pay the same rate for 76856?

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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