MedicaidRateStart free trial

93970 Medicaid reimbursement rates by state

Imaging and radiology. 39 state Medicaid programs publish a fee-for-service rate for 93970 at the physician psychologist level. Rates run from $16.08 in New Jersey to $213.62 in Montana, with a median of $123.85.

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

States publishing
39
Median rate
$123.85units vary by state
Highest
$213.62Montana
Medicare (non-facility)
$160.26–$255.122026 physician fee schedule

93970 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$213.62since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$207.32since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$189.44since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$168.24since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$159.23since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$149.65since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$145.38since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$144.93since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$143.63since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$143.57since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$142.58since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$140.42since 2006-06-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$136.00since 2009-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$135.87since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$131.65since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$129.48since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$126.96since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$125.88since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$124.81since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$123.85since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$120.41since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$118.25since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$118.19since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$117.66since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$116.42since 2024-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$114.20since 2009-05-28——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$101.67since 2015-07-01——Plans must pay at least this—Provider Type 77 Physician's Assistant R
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$101.01since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)$96.92since 2026-01-01——Plans negotiate; applies out of network—MDHHS Independent Diagnostic Testing Fac
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$96.87since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$95.74since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$79.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$78.74since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$64.90since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$54.62since 2026-09-24——Not classified—Teaching Facility Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$28.15since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$26.94since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$26.36since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$16.08since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 93970?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $123.85. Montana pays the most ($213.62) and New Jersey the least ($16.08).

Which state pays the highest Medicaid rate for 93970?

Montana, at $213.62, effective 2026-07-01.

Do managed-care plans pay the same rate for 93970?

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 93970 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state