77438 Medicaid reimbursement rates by state

Imaging and radiology. 19 state Medicaid programs publish a fee-for-service rate for 77438 at the physician psychologist level. Rates run from $68.90 in Illinois to $125.37 in Colorado, with a median of $94.96.

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

States publishing: 19
Median rate: $94.96units vary by state
Highest: $125.37Colorado
Medicare (non-facility): $95.34–$131.902026 physician fee schedule

77438 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.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$125.37since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$113.66since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$107.22since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$103.46since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Schedule of Maximum Allw Pymt Physician
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$102.62since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$97.19since 2026-01-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$96.90since 2026-01-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$96.40since 2026-01-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Nurse Practiti
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$95.76since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Administrative Bulletin 26-09: 101 CMR 3
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$94.96since 2026-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2026
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$91.98since 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)	$88.48since 2026-01-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$87.85since 2026-01-01	—	—	Plans negotiate; applies out of network	—	ODM CPT/HCPCS procedure code changes for
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$87.22since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$83.19since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$76.48since 2026-01-01	—	—	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)	$74.49since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$70.50since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Practitioner and Medical Clinic Fe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$68.90since 2026-01-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective

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 77438?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $94.96. Colorado pays the most ($125.37) and Illinois the least ($68.90).

Which state pays the highest Medicaid rate for 77438?

Colorado, at $125.37, effective 2026-07-01.

Do managed-care plans pay the same rate for 77438?

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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