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77778 Medicaid reimbursement rates by state

Imaging and radiology. 47 state Medicaid programs publish a fee-for-service rate for 77778 at the physician psychologist level. Rates run from $110.01 in Rhode Island to $965.59 in Arizona, with a median of $427.48.

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

States publishing
47
Median rate
$427.48units vary by state
Highest
$965.59Arizona
Medicare (non-facility)
$835.46–$1,233.962026 physician fee schedule

77778 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)$965.59since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$888.68since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$846.23since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$830.72since 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$812.86since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$750.06since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$742.26since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$734.59since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$722.75since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$664.81since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$628.12since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$594.78since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$594.18since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$584.76since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$541.92since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$513.32since 2010-12-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$501.24since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$492.27since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$462.00since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$458.00since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$450.56since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$449.01since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$432.82since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$427.48since 2026-01-01——Plans must pay at least this—Louisiana Medicaid Enhanced Professional
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$411.82since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$409.72since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$403.75since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$402.68since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$396.81since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$396.53since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$390.77since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$388.70since 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)$382.84since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$380.46since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$376.69since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$362.30since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$355.60since 2026-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$344.68since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Radiology - P
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$338.10since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$331.64since 2026-01-01——Not classified—Maryland Medicaid Professional Services
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$320.37since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$320.17since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$301.61since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$300.12since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$297.73since 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)$245.34since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$110.01since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For 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 77778?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $427.48. Arizona pays the most ($965.59) and Rhode Island the least ($110.01).

Which state pays the highest Medicaid rate for 77778?

Arizona, at $965.59, effective 2026-10-01.

Do managed-care plans pay the same rate for 77778?

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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Medicaid rates by state
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming