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Billing code 78492 · Radiology

78492 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $631.09 for 78492 across 42 states, from $55.32 in Rhode Island to $1,813.32 in Virginia.

Data as of Oct 5, 202642 statesEvery rate links to its official source

States publishing
42
National median
$631.09units vary by state
Lowest
$55.32Rhode Island
Highest
$1,813.32Virginia
Answer

What does Medicaid pay for 78492?

42 state Medicaid programs publish a fee-for-service rate for 78492. The national median is $631.09 (units differ between states). Virginia pays the most, $1,813.32, and Rhode Island the least, $55.32, a 32.8x spread.

State ranking

78492 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Virginia Source · since 2010-10-01$1,813.32——Plans negotiate; applies out of network—
2New Mexico Source · since 2025-01-01$1,680.42——Plans must pay at least this—
3Arizona Source · since 2020-10-01$1,534.38——Plans negotiate; applies out of network—
21Wisconsin Source · since 2009-01-01$646.26——Plans negotiate; applies out of network—
22Nebraska Source · since 2026-07-01$615.91——Plans negotiate; applies out of network—
23Ohio Source · since 2018-01-01$573.90——Plans negotiate; applies out of network—
41Florida Source · since 2026-01-01$58.17——Plans negotiate; applies out of network—
42Rhode Island Source · since 2000-01-01$55.32——Plans negotiate; applies out of network—
See all 42 states for 78492 — start free

34 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.

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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 78492 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 78492?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $631.09. Virginia pays the most ($1,813.32) and Rhode Island the least ($55.32).

Which state pays the highest Medicaid rate for 78492?

Virginia, at $1,813.32, effective 2010-10-01.

Do managed-care plans pay the same rate for 78492?

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.