78351 Medicaid reimbursement rates by state

Imaging and radiology. 29 state Medicaid programs publish a fee-for-service rate for 78351 at the physician psychologist level. Rates run from $7.26 in Washington to $154.53 in Missouri, with a median of $13.34.

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

States publishing: 29
Median rate: $13.34units vary by state
Highest: $154.53Missouri
Medicare (non-facility): —not on the physician fee schedule

78351 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
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$154.53⚠ over 3× mediansince 2019-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$145.46⚠ over 3× mediansince 2013-01-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$125.00⚠ over 3× mediansince 1987-07-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$91.18⚠ over 3× mediansince 2023-07-01	—	—	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)	$75.85⚠ over 3× mediansince 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)	$74.59⚠ over 3× mediansince 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$51.90⚠ over 3× mediansince 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)	$46.36⚠ over 3× mediansince 2008-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Radiology 7
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)	$32.85since 2023-07-01	—	—	Plans negotiate; applies out of network	—	2026 Fee Schedule - Covered Procedures R
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)	$27.39since 2026-07-01	—	—	Not classified	—	Alaska Medicaid Physician Fee Schedule S
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$25.88since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$24.89since 2018-09-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$14.39since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$13.60since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)	$13.34since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Utah Medicaid Coverage and Reimbursement
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$13.28since 2025-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, June 202
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)	$12.07since 2026-01-01	—	—	Plans negotiate; applies out of network	—	DMAP 2026 Physician Fee Schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)	$11.91since 2026-07-01	—	—	Not classified	—	South Dakota Medicaid Physician fee sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$11.76since 2016-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$11.23since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$10.96since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$10.71since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$10.69since 2025-12-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)	$10.03since 2026-07-01	—	—	Not classified	—	Wyoming Medicaid Downloadable Fee Schedu
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$9.83since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$9.00since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$8.72since 2026-06-01	—	—	Plans negotiate; applies out of network	—	Medicaid Fee-For-Service (FFS) Fee Sched
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$8.65since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$7.26since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched

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 78351?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $13.34. Missouri pays the most ($154.53) and Washington the least ($7.26).

Which state pays the highest Medicaid rate for 78351?

Missouri, at $154.53, effective 2019-07-01.

Do managed-care plans pay the same rate for 78351?

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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