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78399 Medicaid reimbursement rates by state

Imaging and radiology. 7 state Medicaid programs publish a fee-for-service rate for 78399 at the physician psychologist level. Rates run from $0.00 in Arkansas to $206.19 in Montana, with a median of $25.00.

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

States publishing
7
Median rate
$25.00units vary by state
Highest
$206.19Montana
Medicare (non-facility)
—not on the physician fee schedule

78399 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)$206.19since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$172.70since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$136.44since 2010-09-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$25.00since 2010-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.10since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$7.00since 2025-01-01base unit—Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner 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 78399?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $25.00. Montana pays the most ($206.19) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 78399?

Montana, at $206.19, effective 2025-07-01.

Do managed-care plans pay the same rate for 78399?

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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Medicaid rates by state