78812 Medicaid reimbursement rates by state

Imaging and radiology. 29 state Medicaid programs publish a fee-for-service rate for 78812 at the physician psychologist level. Rates run from $66.40 in Massachusetts to $2,027.01 in California, with a median of $969.32.

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

States publishing: 29
Median rate: $969.32units vary by state
Highest: $2,027.01California
Medicare (non-facility): —not on the physician fee schedule

78812 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
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$2,027.01since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$1,540.62since 2020-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$1,516.90since 2010-10-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical3.csv
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$1,480.00since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$1,450.28since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$1,407.00since 2026-04-10	—	—	Not classified	—	Laboratory and Radiology Fee Schedule (R
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$1,377.11since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Radiology Fee Schedule (2026-01-01)
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
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$1,298.40since 2026-01-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$1,221.49since 2026-07-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$1,214.10since 2026-03-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$1,186.83since 2019-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$1,148.10since 2023-01-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$1,060.35since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$969.32since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$922.97since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$799.83since 2024-07-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #68 PHYSICIAN
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
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)	$784.07since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Physician Serv
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$775.80since 2025-01-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$734.45since 2018-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$705.58since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$647.00since 2015-05-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$550.10since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$497.97since 2017-07-01	—	—	Not classified	—	SCDHHS Physician Assistant/Nurse Practit
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$369.12since 2016-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Laboratory and Radiol
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
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$77.79since 2023-10-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 4 (Ra
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$66.40since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe

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 78812?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $969.32. California pays the most ($2,027.01) and Massachusetts the least ($66.40).

Which state pays the highest Medicaid rate for 78812?

California, at $2,027.01, effective 2026-10-01.

Do managed-care plans pay the same rate for 78812?

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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