78414 Medicaid reimbursement rates by state

Imaging and radiology. 34 state Medicaid programs publish a fee-for-service rate for 78414 at the physician psychologist level. Rates run from $5.09 in Kansas to $502.83 in Mississippi, with a median of $26.89.

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

States publishing: 34
Median rate: $26.89units vary by state
Highest: $502.83Mississippi
Medicare (non-facility): —not on the physician fee schedule

78414 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)	$502.83⚠ over 3× mediansince 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$253.56⚠ over 3× mediansince 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$132.92⚠ over 3× mediansince 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$103.83⚠ over 3× mediansince 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$103.01⚠ over 3× mediansince 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$101.50since 2024-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$74.39since 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$68.96since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$66.56since 2023-10-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$64.46since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$63.98since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$57.02since 2024-01-01	—	—	Plans must pay at least this	—	Provider Type 20 Physician, MD., Osteopa
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$56.01since 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)	$53.51since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$48.36since 2013-01-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$47.23since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)	$30.77since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Nurse Practitioner Fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$23.01since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$22.98since 2018-02-01	—	—	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)	$22.33since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$22.06since 2012-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$21.61since 2024-07-01	—	—	Not classified	—	SCDHHS Pediatric Subspecialty and Neonat
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$20.89since 2020-07-01	—	—	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)	$20.70since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Physician Maximum Allowed Fee Schedule -
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$20.25since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$19.88since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$18.99since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$18.45since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$18.23since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$17.40since 2024-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$16.86since 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)	$15.50since 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	$12.42since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$5.09since 2024-01-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched

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 78414?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $26.89. Mississippi pays the most ($502.83) and Kansas the least ($5.09).

Which state pays the highest Medicaid rate for 78414?

Mississippi, at $502.83, effective 2026-07-01.

Do managed-care plans pay the same rate for 78414?

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

Track 78414 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.

Start free trial Pricing