Skip to content
Billing code 79403 · Radiology

79403 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $88.89 for 79403 across 48 states, from $36.04 in New Jersey to $188.26 in New Hampshire.

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

States publishing
48
National median
$88.89units vary by state
Lowest
$36.04New Jersey
Highest
$188.26New Hampshire
Answer

What does Medicaid pay for 79403?

48 state Medicaid programs publish a fee-for-service rate for 79403. The national median is $88.89 (units differ between states). New Hampshire pays the most, $188.26, and New Jersey the least, $36.04, a 5.2x spread.

Medicare (non-facility, 2026 physician fee schedule): $144.07–$199.49 depending on the state's Medicare locality.

State ranking

79403 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
1New Hampshire Source · since 2025-01-01$188.26——Plans negotiate; applies out of network—
2Arkansas Source · since 2025-06-13$182.75——Not classified—
3Nebraska Source · since 2026-07-01$182.61——Plans negotiate; applies out of network—
24Rhode Island Source · since 2004-01-01$90.40——Plans negotiate; applies out of network—
25Kansas Source · since 2024-01-01$87.38——Plans must pay at least this—
26New York Source · since 2023-10-01$86.24unit—Plans negotiate; applies out of network—
47Washington Source · since 2026-07-01$51.60——Plans negotiate; applies out of network—
48New Jersey Source · since 2026-07-01$36.04——Not classified—
See all 48 states for 79403 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 79403 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 79403?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $88.89. New Hampshire pays the most ($188.26) and New Jersey the least ($36.04).

Which state pays the highest Medicaid rate for 79403?

New Hampshire, at $188.26, effective 2025-01-01.

Do managed-care plans pay the same rate for 79403?

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.