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Billing code 79200 · Radiology

79200 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $78.61 for 79200 across 49 states, from $38.60 in New Jersey to $178.00 in Arkansas.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$78.61units vary by state
Lowest
$38.60New Jersey
Highest
$178.00Arkansas
Answer

What does Medicaid pay for 79200?

49 state Medicaid programs publish a fee-for-service rate for 79200. The national median is $78.61 (units differ between states). Arkansas pays the most, $178.00, and New Jersey the least, $38.60, a 4.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $120.75–$166.41 depending on the state's Medicare locality.

State ranking

79200 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-06-13$178.00——Not classified—
2Alaska Source · since 2026-07-01$153.46——Not classified—
3Arizona Source · since 2026-10-01$135.97——Plans negotiate; applies out of network—
24New Mexico Source · since 2020-07-01$79.37——Plans must pay at least this—
25Alabama Source · since 2026-04-10$78.61——Not classified—
26Maryland Source · since 2026-01-01$78.01——Not classified—
48Washington Source · since 2026-07-01$45.86——Plans negotiate; applies out of network—
49New Jersey Source · since 2026-07-01$38.60——Not classified—
See all 49 states for 79200 — start free

41 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 79200 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 79200?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $78.61. Arkansas pays the most ($178.00) and New Jersey the least ($38.60).

Which state pays the highest Medicaid rate for 79200?

Arkansas, at $178.00, effective 2025-06-13.

Do managed-care plans pay the same rate for 79200?

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.