94781 Medicaid reimbursement rates by state

Imaging and radiology. 27 state Medicaid programs publish a fee-for-service rate for 94781 at the physician psychologist level. Rates run from $4.16 in Ohio to $30.99 in Montana, with a median of $13.64.

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

States publishing: 27
Median rate: $13.64units vary by state
Highest: $30.99Montana
Medicare (non-facility): $19.82–$25.352026 physician fee schedule

94781 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)	$30.99since 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)	$29.44since 2025-01-01	—	—	Plans must pay at least this	—	New Mexico Medicaid Fee for Service CPT
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$19.43since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)	$18.54since 2026-01-01	—	—	Not classified	—	Vermont Medicaid Fee Schedule - CPT Code
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$17.86since 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)	$17.79since 2026-07-01	—	—	Not classified	—	Idaho Medicaid Numerical Fee Schedule Ju
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$17.29since 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)	$16.98since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$16.97since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$16.56since 2025-07-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Professional Services
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$15.46since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$15.29since 2022-07-01	—	—	Plans must pay at least this	—	MO HealthNet fee schedule: Practitioner
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)	$14.94since 2026-01-01	—	—	Not classified	—	MaineCare Fee Schedule (MaineCare UCR, H
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$13.64since 2012-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$13.56since 2026-01-01	—	—	Not classified	—	CMAP fee schedule: Physician Office and
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$13.37since 2015-07-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$12.60since 2024-08-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)	$11.97since 2012-01-01	—	—	Plans negotiate; applies out of network	—	RI Medicaid Interactive Fee For Service
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$11.13since 2024-07-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Nurse Midwives Fee Schedule (sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$9.60since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service	$7.91since 2026-06-01	—	—	Plans must pay at least this	—	Medicaid Fee-For-Service (FFS) Fee Sched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$7.45since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$7.44since 2026-10-01	—	—	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)	$6.08since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$5.97since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$5.32since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$4.16since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit

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 94781?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $13.64. Montana pays the most ($30.99) and Ohio the least ($4.16).

Which state pays the highest Medicaid rate for 94781?

Montana, at $30.99, effective 2026-07-01.

Do managed-care plans pay the same rate for 94781?

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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