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76885 Medicaid reimbursement rates by state

Imaging and radiology. 41 state Medicaid programs publish a fee-for-service rate for 76885 at the physician psychologist level. Rates run from $29.19 in Texas to $137.09 in Montana, with a median of $68.70.

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

States publishing
41
Median rate
$68.70units vary by state
Highest
$137.09Montana
Medicare (non-facility)
$115.75–$179.972026 physician fee schedule

76885 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$137.09since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$135.61since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$123.00since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$118.04since 2016-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$95.71since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$94.02since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$88.59since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$84.86since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$84.49since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$84.43since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$82.40since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$79.47since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$76.09since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$75.50since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$75.45since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$74.93since 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)$74.21since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$72.94since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$70.61since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
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
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$68.70since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$66.90since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$64.40since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$63.95since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$62.20since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$61.53since 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)$60.50since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
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
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$56.36since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$55.74since 2026-01-01——Not classified—Maryland Medicaid Professional Services
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 -
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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$51.10since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$48.93since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$42.85since 2015-05-01——Not classified—CMAP fee schedule: Independent Radiology
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$39.88since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$37.86since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$36.64since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$31.12since 2023-10-01unit—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)$29.19since 2025-03-01——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 76885?

It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $68.70. Montana pays the most ($137.09) and Texas the least ($29.19).

Which state pays the highest Medicaid rate for 76885?

Montana, at $137.09, effective 2026-07-01.

Do managed-care plans pay the same rate for 76885?

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

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Medicaid rates by state