78282 Medicaid reimbursement rates by state

Imaging and radiology. 31 state Medicaid programs publish a fee-for-service rate for 78282 at the physician psychologist level. Rates run from $6.78 in Virginia to $316.50 in Mississippi, with a median of $28.59.

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

States publishing: 31
Median rate: $28.59units vary by state
Highest: $316.50Mississippi
Medicare (non-facility): —not on the physician fee schedule

78282 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
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$316.50⚠ over 3× mediansince 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$174.96⚠ over 3× mediansince 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$169.65⚠ over 3× mediansince 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$137.30⚠ over 3× mediansince 2023-10-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$62.18since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$59.73since 2016-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$51.91since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$51.20since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$48.79since 2008-07-01	—	—	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)	$46.70since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$45.79since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$42.00since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$41.42since 2026-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$39.81since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$33.99since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$28.59since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$25.00since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$24.89since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$19.73since 2018-02-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$19.70since 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$19.20since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$17.92since 2017-01-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$16.95since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Physician Maximum Allowed Fee Schedule -
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$16.44since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$15.84since 2024-07-01	—	—	Not classified	—	SCDHHS Pediatric Subspecialty and Neonat
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$14.24since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$12.66since 2024-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$12.06since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$11.11since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$8.79since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$6.78since 1978-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv

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 78282?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $28.59. Mississippi pays the most ($316.50) and Virginia the least ($6.78).

Which state pays the highest Medicaid rate for 78282?

Mississippi, at $316.50, effective 2026-07-01.

Do managed-care plans pay the same rate for 78282?

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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