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76978 Medicaid reimbursement rates by state

Imaging and radiology. 34 state Medicaid programs publish a fee-for-service rate for 76978 at the physician psychologist level. Rates run from $50.25 in New Jersey to $279.43 in California, with a median of $128.29.

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

States publishing
34
Median rate
$128.29units vary by state
Highest
$279.43California
Medicare (non-facility)
$155.36–$226.532026 physician fee schedule

76978 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$279.43since 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)$261.77since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$242.69since 2024-01-01——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)$228.48since 2019-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$227.23since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$209.28since 2019-01-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$200.54since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$198.45since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$187.95since 2019-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$181.20since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$179.62since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$177.40since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$144.23since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$142.00since 2019-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$140.58since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$136.16since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$132.50since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$124.07since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$111.77since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$105.29since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$101.86since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$100.31since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$93.75since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$93.73since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$90.39since 2019-01-01——Plans must pay at least this—Louisiana Medicaid Laboratory and Radiol
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$83.91since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$81.83since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$80.92since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$80.12since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$64.37since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$63.99since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$61.77since 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$61.15since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$50.25since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 76978?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $128.29. California pays the most ($279.43) and New Jersey the least ($50.25).

Which state pays the highest Medicaid rate for 76978?

California, at $279.43, effective 2026-10-01.

Do managed-care plans pay the same rate for 76978?

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
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