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77401 Medicaid reimbursement rates by state

Imaging and radiology. 9 state Medicaid programs publish a fee-for-service rate for 77401 at the physician psychologist level. Rates run from $22.27 in North Carolina to $60.65 in Georgia, with a median of $35.64.

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

States publishing
9
Median rate
$35.64units vary by state
Highest
$60.65Georgia
Medicare (non-facility)
—not on the physician fee schedule

77401 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
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$60.65since 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)$60.41since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$48.00since 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)$43.52since 2021-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$35.64since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$32.88since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$31.30since 2025-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$26.20since 2025-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$22.27since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti

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 77401?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $35.64. Georgia pays the most ($60.65) and North Carolina the least ($22.27).

Which state pays the highest Medicaid rate for 77401?

Georgia, at $60.65, effective 2017-01-01.

Do managed-care plans pay the same rate for 77401?

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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