95716 Medicaid reimbursement rates by state

Imaging and radiology. 29 state Medicaid programs publish a fee-for-service rate for 95716 at the physician psychologist level. Rates run from $125.38 in New York to $1,393.12 in North Carolina, with a median of $883.63.

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

States publishing: 29
Median rate: $883.63units vary by state
Highest: $1,393.12North Carolina
Medicare (non-facility): —not on the physician fee schedule

95716 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
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$1,393.12since 2025-10-01	—	—	Plans negotiate; applies out of network	—	NC Medicaid fee schedule 'Independent Di
AlabamaPhysician or licensed psychologist (incl. BCBA-D) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)	$1,218.08since 2026-09-24	—	—	Not classified	—	Teaching Facility Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)	$1,213.05since 2024-01-01	—	—	Plans must pay at least this	—	SoonerCare Title XIX Fee Schedule
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$1,169.77since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)	$1,166.02since 2022-07-01	—	—	Plans must pay at least this	—	DOM Comprehensive Fee Schedule, May 2023
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$1,149.65since 2022-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$1,037.50since 2021-07-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$994.75since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$988.26since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$987.22since 2025-09-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$968.73since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)	$961.46since 2024-01-01	—	—	Plans negotiate; applies out of network	—	OHP FFS medical-dental fee schedule (fee
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$937.50since 2020-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)	$902.56since 2026-07-01	—	—	Not classified	—	Health First Colorado Physician Fee Sche
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$883.63since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Practitioner Fee Schedule (2026-01-01)
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)	$801.74since 2020-01-01	—	—	Plans must pay at least this	—	Iowa Medicaid fee schedule #02 PHYSICIAN
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)	$748.09since 2020-01-01	—	—	Plans must pay at least this	—	Provider Type 77 Physician's Assistant R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$742.37since 2022-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$727.16since 2020-01-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$699.61since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)	$668.31since 2024-08-01	—	—	Paid by the state, outside plans	—	KMAP Fee Schedule MKN Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$645.42since 2020-01-01	—	—	Plans negotiate; applies out of network	—	SCDHHS Nurse Midwives Fee Schedule (sche
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)	$645.42since 2025-06-13	—	—	Not classified	—	Arkansas Medicaid Physician / CRNA / Fam
MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service)	$587.64since 2025-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Independent Diagnostic Testing Fac
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$530.65since 2020-01-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$523.62since 2023-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)	$522.65since 2021-07-01	—	—	Not classified	—	CMAP fee schedule: Independent Radiology
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$405.35since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$125.38since 2023-01-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 2 (Me

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 95716?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $883.63. North Carolina pays the most ($1,393.12) and New York the least ($125.38 per unit).

Which state pays the highest Medicaid rate for 95716?

North Carolina, at $1,393.12, effective 2025-10-01.

Do managed-care plans pay the same rate for 95716?

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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