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76936 Medicaid reimbursement rates by state

Imaging and radiology. 27 state Medicaid programs publish a fee-for-service rate for 76936 at the physician psychologist level. Rates run from $77.47 in Texas to $273.35 in Arizona, with a median of $140.56.

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

States publishing
27
Median rate
$140.56units vary by state
Highest
$273.35Arizona
Medicare (non-facility)
$237.38–$312.182026 physician fee schedule

76936 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)$273.35since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$214.29since 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)$213.60since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$212.03since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$203.78since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$185.39since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$170.16since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$165.27since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$161.22since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$159.34since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$149.02since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$146.90since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$143.86since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$140.56since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$140.21since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$139.98since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$133.65since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$123.95since 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)$117.69since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$109.70since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$108.54since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$103.97since 2010-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$90.50since 2015-05-01——Not classified—CMAP fee schedule: Independent Radiology
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$89.23since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$86.60since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$84.04since 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)$77.47since 2023-09-01——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 76936?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $140.56. Arizona pays the most ($273.35) and Texas the least ($77.47).

Which state pays the highest Medicaid rate for 76936?

Arizona, at $273.35, effective 2026-10-01.

Do managed-care plans pay the same rate for 76936?

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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