78191 Medicaid reimbursement rates by state

Imaging and radiology. 46 state Medicaid programs publish a fee-for-service rate for 78191 at the physician psychologist level. Rates run from $20.21 in Texas to $310.28 in Nebraska, with a median of $94.11.

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

States publishing: 46
Median rate: $94.11units vary by state
Highest: $310.28Nebraska
Medicare (non-facility): $111.00–$174.362026 physician fee schedule

78191 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$310.28⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$249.13since 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)	$241.35since 2024-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #68 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$198.18since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)	$151.63since 2026-07-01	—	—	Not classified	—	Alaska Medicaid Physician Fee Schedule S
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)	$145.08since 2026-07-01	—	—	Not classified	—	Montana Healthcare Programs fee schedule
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$144.38since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)	$138.00since 1996-01-01	—	—	Plans negotiate; applies out of network	—	RI Medicaid Interactive Fee For Service
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$136.69since 2016-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$133.09since 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$132.08since 2017-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$130.66since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$126.84since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$126.69since 2010-12-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$125.06since 2017-01-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)	$121.12since 2026-07-01	—	—	Not classified	—	South Dakota Medicaid Physician fee sche
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$115.36since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)	$112.43since 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)	$108.14since 2026-07-01	—	—	Not classified	—	Wyoming Medicaid Downloadable Fee Schedu
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)	$106.29since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Utah Medicaid Coverage and Reimbursement
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$105.33since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)	$99.75since 2026-01-01	—	—	Plans negotiate; applies out of network	—	DMAP 2026 Physician Fee Schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$98.80since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$89.41since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$89.06since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)	$86.66since 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)	$86.08since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$85.09since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$83.78since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$81.26since 2026-07-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$80.73since 2026-06-01	—	—	Plans negotiate; applies out of network	—	Medicaid Fee-For-Service (FFS) Fee Sched
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$80.27since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$79.81since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Radiology 7
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$79.76since 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$79.14since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$77.59since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$69.82since 2024-07-01	—	—	Not classified	—	SCDHHS Base Physician Fee Schedule (sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$68.31since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)	$66.37since 2026-04-01	—	—	Plans negotiate; applies out of network	—	BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$65.82since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$64.78since 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)	$53.54since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$27.00since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$23.17since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$22.62since 2024-01-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$20.21since 2024-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi

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 78191?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $94.11. Nebraska pays the most ($310.28) and Texas the least ($20.21).

Which state pays the highest Medicaid rate for 78191?

Nebraska, at $310.28, effective 2026-07-01.

Do managed-care plans pay the same rate for 78191?

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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