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78291 Medicaid reimbursement rates by state

Imaging and radiology. 44 state Medicaid programs publish a fee-for-service rate for 78291 at the physician psychologist level. Rates run from $21.34 in Colorado to $269.96 in Montana, with a median of $151.39.

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

States publishing
44
Median rate
$151.39units vary by state
Highest
$269.96Montana
Medicare (non-facility)
$202.99–$323.442026 physician fee schedule

78291 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$269.96since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$239.72since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$230.81since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$220.17since 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)$207.27since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$201.78since 2016-01-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$197.89since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$187.42since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$185.84since 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)$182.16since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$181.18since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$176.02since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$175.39since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$170.83since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$166.38since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$163.65since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$162.25since 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)$160.44since 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)$159.42since 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)$156.49since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$155.76since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$152.14since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$150.64since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$148.68since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$146.87since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$141.11since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$137.01since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$134.48since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$127.63since 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)$122.49since 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)$122.48since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$122.06since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$120.97since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$104.13since 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)$103.87since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$103.57since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$99.62since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$97.33since 2015-05-01——Not classified—CMAP fee schedule: Independent Radiology
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$91.46since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$82.69since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$65.64since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$36.63since 2023-10-01unit—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)$34.80since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$21.34since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 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 78291?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $151.39. Montana pays the most ($269.96) and Colorado the least ($21.34).

Which state pays the highest Medicaid rate for 78291?

Montana, at $269.96, effective 2026-07-01.

Do managed-care plans pay the same rate for 78291?

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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Medicaid rates by state
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming