78429 Medicaid reimbursement rates by state

Imaging and radiology. 37 state Medicaid programs publish a fee-for-service rate for 78429 at the physician psychologist level. Rates run from $5.17 in Kansas to $3,907.20 in Nebraska, with a median of $89.70.

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

States publishing: 37
Median rate: $89.70units vary by state
Highest: $3,907.20Nebraska
Medicare (non-facility): —not on the physician fee schedule

78429 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$3,907.20⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)	$1,414.52⚠ over 3× mediansince 2026-01-01	—	—	Plans negotiate; applies out of network	—	DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$1,344.60since 2026-01-01	unit	—	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)	$1,291.52⚠ over 3× mediansince 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$1,221.49⚠ over 3× mediansince 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$1,194.18⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)	$1,177.97⚠ over 3× mediansince 2026-07-01	—	—	Not classified	—	South Dakota Medicaid Physician fee sche
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$1,158.67⚠ over 3× mediansince 2024-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #68 PHYSICIAN
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)	$1,004.42⚠ over 3× mediansince 2025-01-01	—	—	Plans negotiate; applies out of network	—	2026 Fee Schedule - Covered Procedures R
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$1,002.50⚠ over 3× mediansince 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Radiology 7
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$831.72⚠ over 3× mediansince 2026-06-01	—	—	Plans negotiate; applies out of network	—	Medicaid Fee-For-Service (FFS) Fee Sched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$804.09⚠ over 3× mediansince 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$780.05⚠ over 3× mediansince 2022-07-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$665.08⚠ over 3× mediansince 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$356.36⚠ over 3× mediansince 2026-04-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)	$148.55since 2026-07-01	—	—	Not classified	—	Alaska Medicaid Physician Fee Schedule S
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)	$109.39since 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)	$104.87since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS FFS Capped Fee Schedule: Clinical
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$89.70since 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)	$83.89since 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)	$77.91since 2023-07-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$72.47since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$68.54since 2023-10-01	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)	$67.75since 2026-07-01	—	—	Not classified	—	Wyoming Medicaid Downloadable Fee Schedu
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$67.42since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$67.24since 2026-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, Septembe
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$67.16since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$65.60since 2020-01-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Nurse Midwives Fee Schedule (sche
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)	$64.62since 2026-01-01	—	—	Not classified	—	Vermont Medicaid Fee Schedule - CPT Code
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$63.44since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$60.26since 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Radiology - P
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$59.65since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$59.61since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$59.34since 2020-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$58.22since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$49.63since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$5.17since 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 78429?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $89.70. Nebraska pays the most ($3,907.20) and Kansas the least ($5.17).

Which state pays the highest Medicaid rate for 78429?

Nebraska, at $3,907.20, effective 2026-07-01.

Do managed-care plans pay the same rate for 78429?

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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