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78350 Medicaid reimbursement rates by state

Imaging and radiology. 37 state Medicaid programs publish a fee-for-service rate for 78350 at the physician psychologist level. Rates run from $7.71 in New York to $121.14 in Illinois, with a median of $21.64.

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

States publishing
37
Median rate
$21.64units vary by state
Highest
$121.14Illinois
Medicare (non-facility)
—not on the physician fee schedule

78350 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
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$121.14⚠ over 3× mediansince 2013-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$74.80⚠ over 3× mediansince 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$40.45since 2023-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$33.99since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$33.76since 1995-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$33.55since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$33.00since 2026-04-10——Not classified—Laboratory and Radiology Fee Schedule (R
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$29.38since 2018-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$27.38since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$25.85since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$25.77since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$25.74since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$25.66since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$25.47since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$24.99since 2008-01-01——Not classified—CMAP fee schedule: Physician Radiology 7
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$24.22since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$23.05since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$22.42since 2024-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2024-2025 Rate
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$21.64since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$20.54since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$20.53since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$19.39since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$18.95since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$18.95since 2026-01-01——Not classified—Maryland Medicaid Professional Services
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$18.83since 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)$18.67since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$18.19since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$17.05since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$16.81since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$16.31since 2000-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$16.04since 2024-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$14.90since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$14.83since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$14.27since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$14.15since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$14.14since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$7.71since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra

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 78350?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $21.64. Illinois pays the most ($121.14) and New York the least ($7.71 per unit).

Which state pays the highest Medicaid rate for 78350?

Illinois, at $121.14, effective 2013-01-01.

Do managed-care plans pay the same rate for 78350?

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.

Related Radiology codes

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