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78261 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $131.11 for 78261 across 47 states, from $22.73 in Texas to $231.86 in Alaska.

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

States publishing
47
National median
$131.11units vary by state
Lowest
$22.73Texas
Highest
$231.86Alaska

What does Medicaid pay for 78261?

47 state Medicaid programs publish a fee-for-service rate for 78261 at the physician psychologist level. The national median is $131.11 (units differ between states). Alaska pays the most, $231.86, and Texas the least, $22.73, a 10.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $160.38–$255.96 depending on the state's Medicare locality.

78261 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$231.86——Not classified—
2Montana Source · since 2026-07-01$220.67——Not classified—
3Nebraska Source · since 2026-07-01$219.16——Plans negotiate; applies out of network—
23Vermont Source · since 2026-01-01$132.81——Not classified—
24Oklahoma Source · since 2026-07-01$131.11——Plans must pay at least this—
25Massachusetts Source · since 2026-10-01$128.83——Plans negotiate; applies out of network—
46New York Source · since 2023-10-01$26.16unit—Plans negotiate; applies out of network—
47Texas Source · since 2024-03-01$22.73——Plans negotiate; applies out of network—
See all 47 states for 78261 — start free

39 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.

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 78261 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 78261?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $131.11. Alaska pays the most ($231.86) and Texas the least ($22.73).

Which state pays the highest Medicaid rate for 78261?

Alaska, at $231.86, effective 2026-07-01.

Do managed-care plans pay the same rate for 78261?

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.