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77425 Medicaid reimbursement rates by state

Imaging and radiology. 7 state Medicaid programs publish a fee-for-service rate for 77425 at the physician psychologist level. Rates run from $0.00 in Arkansas to $6,639.43 in Missouri, with a median of $137.27.

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

States publishing
7
Median rate
$137.27units vary by state
Highest
$6,639.43Missouri
Medicare (non-facility)
—not on the physician fee schedule

77425 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
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$6,639.43⚠ over 3× mediansince 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Outpatient Ho
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$253.67since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$143.18since 2020-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$137.27since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$102.78since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$66.00since 1993-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 77425?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $137.27. Missouri pays the most ($6,639.43) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 77425?

Missouri, at $6,639.43, effective 2026-07-01.

Do managed-care plans pay the same rate for 77425?

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

Track 77425 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state