78459 Medicaid reimbursement rates by state

Imaging and radiology. 26 state Medicaid programs publish a fee-for-service rate for 78459 at the physician psychologist level. Rates run from $45.80 in Florida to $1,533.55 in Virginia, with a median of $704.51.

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

States publishing: 26
Median rate: $704.51units vary by state
Highest: $1,533.55Virginia
Medicare (non-facility): —not on the physician fee schedule

78459 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
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$1,533.55since 2010-10-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$1,352.19since 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$1,203.53since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$1,105.87since 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)	$985.12since 2009-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$977.03since 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$910.15since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$886.07since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Radiology 7
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$856.21since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$792.00since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$716.64since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$713.03since 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$708.16since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$700.85since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$598.41since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$552.89since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$318.02since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$300.95since 2024-01-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$102.52since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$87.50since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$82.94since 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)	$76.88since 2006-09-01	—	—	Not classified	—	SCDHHS Pediatric Subspecialty and Neonat
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$63.20since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$63.05since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$53.35since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$45.80since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)

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 78459?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $704.51. Virginia pays the most ($1,533.55) and Florida the least ($45.80).

Which state pays the highest Medicaid rate for 78459?

Virginia, at $1,533.55, effective 2010-10-01.

Do managed-care plans pay the same rate for 78459?

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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