78227 Medicaid reimbursement rates by state

Imaging and radiology. 34 state Medicaid programs publish a fee-for-service rate for 78227 at the physician psychologist level. Rates run from $32.83 in Oregon to $433.79 in Arkansas, with a median of $273.23.

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

States publishing: 34
Median rate: $273.23units vary by state
Highest: $433.79Arkansas
Medicare (non-facility): $331.57–$538.572026 physician fee schedule

78227 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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$433.79since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$393.74since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$391.93since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$390.73since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$361.61since 2016-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$343.77since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$335.03since 2023-07-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$334.18since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$310.21since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$300.26since 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)	$296.01since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$295.56since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$292.54since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$285.44since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$284.99since 2024-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$282.04since 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$280.70since 2012-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$265.75since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$264.52since 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$252.02since 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)	$249.28since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$246.76since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$228.18since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$224.15since 2024-07-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Nurse Midwives Fee Schedule (sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$220.48since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$217.90since 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	$215.37since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$208.20since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$187.34since 2018-02-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$177.24since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$120.39since 2025-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$36.90since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$35.08since 2022-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$32.83since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee

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 78227?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $273.23. Arkansas pays the most ($433.79) and Oregon the least ($32.83).

Which state pays the highest Medicaid rate for 78227?

Arkansas, at $433.79, effective 2025-06-13.

Do managed-care plans pay the same rate for 78227?

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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