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78433 Medicaid reimbursement rates by state

Imaging and radiology. 38 state Medicaid programs publish a fee-for-service rate for 78433 at the physician psychologist level. Rates run from $6.64 in Kansas to $3,907.20 in Nebraska, with a median of $187.99.

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

States publishing
38
Median rate
$187.99units vary by state
Highest
$3,907.20Nebraska
Medicare (non-facility)
—not on the physician fee schedule

78433 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
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
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$2,396.35⚠ over 3× mediansince 2026-01-01——Not classified—Maryland Medicaid Professional Services
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$2,179.05⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$2,166.06⚠ over 3× mediansince 2024-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #68 PHYSICIAN
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$2,047.08⚠ 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)$2,002.17⚠ over 3× mediansince 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,881.68⚠ over 3× mediansince 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,879.12⚠ over 3× mediansince 2020-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,743.92⚠ over 3× mediansince 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$1,667.51⚠ over 3× mediansince 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,583.39⚠ over 3× mediansince 2026-01-01——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)$1,570.18⚠ over 3× mediansince 2025-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,490.68⚠ over 3× mediansince 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$1,405.01⚠ over 3× mediansince 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)$1,232.12⚠ 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)$855.47⚠ 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)$562.45since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$486.35since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$191.45since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$184.52since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 4 (Ra
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$140.85since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$115.50since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$111.15since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$108.00since 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)$100.14since 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)$93.09since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$87.98since 2026-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$87.02since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$86.81since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$86.40since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$83.85since 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)$81.63since 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)$77.99since 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)$76.63since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$75.25since 2024-07-01——Not classified—SCDHHS Base Physician Fee Schedule (sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$74.95since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$63.90since 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$6.64since 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 78433?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $187.99. Nebraska pays the most ($3,907.20) and Kansas the least ($6.64).

Which state pays the highest Medicaid rate for 78433?

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

Do managed-care plans pay the same rate for 78433?

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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Medicaid rates by state
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming