Skip to content
Billing code 78226 · Radiology

78226 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $209.83 for 78226 across 49 states, from $28.91 in Texas to $371.32 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$209.83units vary by state
Lowest
$28.91Texas
Highest
$371.32Alaska
Answer

What does Medicaid pay for 78226?

49 state Medicaid programs publish a fee-for-service rate for 78226. The national median is $209.83 (units differ between states). Alaska pays the most, $371.32, and Texas the least, $28.91, a 12.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $247.09–$400.13 depending on the state's Medicare locality.

State ranking

78226 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$371.32——Not classified—
2Montana Source · since 2026-07-01$353.06——Not classified—
3Arkansas Source · since 2025-06-13$312.39——Not classified—
24Vermont Source · since 2026-01-01$212.51——Not classified—
25Oklahoma Source · since 2026-07-01$209.83——Plans must pay at least this—
26Kansas Source · since 2024-01-01$209.58——Plans must pay at least this—
48New York Source · since 2023-10-01$30.51unit—Plans negotiate; applies out of network—
49Texas Source · since 2022-03-01$28.91——Plans negotiate; applies out of network—
See all 49 states for 78226 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 78226 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 78226?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $209.83. Alaska pays the most ($371.32) and Texas the least ($28.91).

Which state pays the highest Medicaid rate for 78226?

Alaska, at $371.32, effective 2026-07-01.

Do managed-care plans pay the same rate for 78226?

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 workspace shows the rule for each state, cited to the contract or statute.