78491 Medicaid reimbursement rates by state

Imaging and radiology. 22 state Medicaid programs publish a fee-for-service rate for 78491 at the physician psychologist level. Rates run from $46.25 in Florida to $1,829.68 in Virginia, with a median of $580.08.

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

States publishing: 22
Median rate: $580.08units vary by state
Highest: $1,829.68Virginia
Medicare (non-facility): —not on the physician fee schedule

78491 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)	$1,829.68⚠ over 3× mediansince 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)	$1,520.71since 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)	$1,344.60since 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)	$1,015.93since 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)	$1,002.50since 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
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$855.03since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$827.60since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$791.55since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$734.00since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$599.43since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$560.72since 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$413.35since 2017-07-01	—	—	Not classified	—	SCDHHS Physician Assistant/Nurse Practit
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$412.36since 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Practitioner
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$337.83since 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)	$127.27since 2011-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$98.00since 2013-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$97.00since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$61.01since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$59.26since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$51.85since 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)	$46.25since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)

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 78491?

It depends on the state. Of the 22 states with a published fee-for-service rate, the median is $580.08. Virginia pays the most ($1,829.68) and Florida the least ($46.25).

Which state pays the highest Medicaid rate for 78491?

Virginia, at $1,829.68, effective 2010-10-01.

Do managed-care plans pay the same rate for 78491?

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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