Skip to content

78472 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $140.92 for 78472 across 49 states, from $37.89 in Texas to $272.54 in Nebraska.

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

States publishing
49
National median
$140.92units vary by state
Lowest
$37.89Texas
Highest
$272.54Nebraska

What does Medicaid pay for 78472?

49 state Medicaid programs publish a fee-for-service rate for 78472 at the physician psychologist level. The national median is $140.92 (units differ between states). Nebraska pays the most, $272.54, and Texas the least, $37.89, a 7.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $181.78–$286.03 depending on the state's Medicare locality.

78472 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$272.54——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$240.29——Not classified—
3Montana Source · since 2026-07-01$228.65——Not classified—
24Indiana Source · since 2026-01-01$143.78unit—Plans must pay at least this—
25Virginia Source · since 2026-07-01$140.92——Plans negotiate; applies out of network—
26Vermont Source · since 2026-01-01$137.62——Not classified—
48District of Columbia Source · since 2026-01-01$38.93——Not classified—
49Texas Source · since 2022-03-01$37.89——Plans negotiate; applies out of network—
See all 49 states for 78472 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 78472 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 78472?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $140.92. Nebraska pays the most ($272.54) and Texas the least ($37.89).

Which state pays the highest Medicaid rate for 78472?

Nebraska, at $272.54, effective 2026-07-01.

Do managed-care plans pay the same rate for 78472?

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 workspace shows the rule for each state, cited to the contract or statute.