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Billing code 78761 · Radiology

78761 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $123.49 for 78761 across 48 states, from $28.35 in Texas to $221.13 in Montana.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$123.49units vary by state
Lowest
$28.35Texas
Highest
$221.13Montana
Answer

What does Medicaid pay for 78761?

48 state Medicaid programs publish a fee-for-service rate for 78761. The national median is $123.49 (units differ between states). Montana pays the most, $221.13, and Texas the least, $28.35, a 7.8x spread.

Medicare (non-facility, 2026 physician fee schedule): $165.58–$263.98 depending on the state's Medicare locality.

State ranking

78761 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$221.13——Not classified—
2Arizona Source · since 2026-10-01$195.81——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-07-01$188.28——Not classified—
24Idaho Source · since 2026-07-01$124.54——Not classified—
25Illinois Source · since 2024-04-01$122.43——Plans negotiate; applies out of network—
26Florida Source · since 2026-01-01$122.35——Plans negotiate; applies out of network—
47District of Columbia Source · since 2026-01-01$28.49——Not classified—
48Texas Source · since 2020-01-01$28.35——Plans negotiate; applies out of network—
See all 48 states for 78761 — start free

40 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 78761 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 78761?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $123.49. Montana pays the most ($221.13) and Texas the least ($28.35).

Which state pays the highest Medicaid rate for 78761?

Montana, at $221.13, effective 2026-07-01.

Do managed-care plans pay the same rate for 78761?

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.