78609 Medicaid reimbursement rates by state

Imaging and radiology. 25 state Medicaid programs publish a fee-for-service rate for 78609 at the physician psychologist level. Rates run from $8.10 in New Jersey to $1,400.34 in New Mexico, with a median of $74.71.

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

States publishing: 25
Median rate: $74.71units vary by state
Highest: $1,400.34New Mexico
Medicare (non-facility): —not on the physician fee schedule

78609 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)	$1,400.34⚠ over 3× mediansince 2025-01-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)	$1,012.26⚠ over 3× mediansince 2025-09-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$990.42⚠ over 3× mediansince 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Radiology - P
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$816.70⚠ over 3× mediansince 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$795.50⚠ over 3× mediansince 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$777.75⚠ over 3× mediansince 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)	$599.94since 2023-01-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$469.99⚠ over 3× mediansince 2017-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$362.38⚠ over 3× mediansince 2016-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$232.30⚠ over 3× mediansince 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$127.27since 2013-01-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$76.00since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$74.71since 2026-10-01	—	—	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)	$66.59since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$64.19since 2024-02-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$58.15since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$57.72since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$57.52since 2026-02-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$54.80since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$53.06since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$52.47since 2024-07-01	—	—	Not classified	—	SCDHHS Base Physician Fee Schedule (sche
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$50.14since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)	$50.02since 2026-04-01	—	—	Plans negotiate; applies out of network	—	BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule	$18.00since 2008-01-01	—	—	Not classified	—	KMAP Fee Schedule QMB Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$8.10since 2014-07-01	base unit	—	Not classified	—	NJMMIS Procedure Master Listing CPTCodes

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 78609?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $74.71. New Mexico pays the most ($1,400.34) and New Jersey the least ($8.10 per base unit).

Which state pays the highest Medicaid rate for 78609?

New Mexico, at $1,400.34, effective 2025-01-01.

Do managed-care plans pay the same rate for 78609?

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.

Related Radiology codes

Track 78609 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.

Start free trial Pricing