Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 22856. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
45
Median % of Medicare
84.3%
Rate range
$610.43 - $2,554.92
22856 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $2,554.92 | 167.9% | -- | 2026 |
| Alabama | $1,105.48 | 72.6% | -- | 2026 |
| Arkansas | $1,836.12 | 120.6% | -- | 2026 |
| Arizona | $1,668.39 | 109.6% | -- | 2025 |
| California | $1,231.20 | 80.9% | -- | 2026 |
| Colorado | $1,329.51 | 87.4% | Required | 2026 |
| Connecticut | $1,029.73 | 67.7% | -- | 2026 |
| District of Columbia | $1,343.86 | 88.3% | Not required | 2026 |
| Delaware | $1,465.52 | 96.3% | -- | 2026 |
| Florida | $610.43 | 40.1% | -- | 2026 |
| Georgia | $1,301.56 | 85.5% | -- | 2026 |
| Hawaii | $1,612.24 | 105.9% | -- | 2025 |
| Iowa | $1,228.19 | 80.7% | -- | 2024 |
| Idaho | $1,168.55 | 76.8% | Required | 2026 |
| Illinois | $1,124.93 | 73.9% | -- | 2024 |
| Indiana | $1,436.76 | 94.4% | Required | 2025 |
| Kansas | $1,102.62 | 72.4% | -- | 2024 |
| Kentucky | $1,280.26 | 84.1% | -- | 2026 |
| Louisiana | $1,326.90 | 87.2% | -- | 2026 |
| Massachusetts | $1,201.07 | 78.9% | -- | 2025 |
| Maine | $1,005.87 | 66.1% | -- | 2026 |
| Michigan | $970.64 | 63.8% | -- | 2026 |
| Minnesota | $1,049.26 | 68.9% | Required | 2026 |
| Missouri | $1,223.66 | 80.4% | Varies | 2022 |
| Montana | $2,234.54 | 146.8% | Required | 2026 |
| North Carolina | $1,350.11 | 88.7% | -- | 2025 |
| North Dakota | $1,545.90 | 101.6% | Not required | 2026 |
| Nebraska | $1,926.60 | 126.6% | -- | 2026 |
| New Hampshire | $963.30 | 63.3% | Not required | 2026 |
| New Jersey | $770.75 | 50.6% | Not required | 2026 |
| New Mexico | $2,396.82 | 157.5% | -- | 2025 |
| Nevada | $2,020.35 | 132.7% | -- | 2024 |
| New York | $1,536.08 | 100.9% | -- | 2026 |
| Ohio | $1,283.71 | 84.3% | -- | 2024 |
| Oklahoma | $1,331.68 | 87.5% | -- | 2026 |
| Oregon | $1,179.45* | 77.5% | -- | 2026 |
| South Carolina | $1,074.59 | 70.6% | -- | 2024 |
| Texas | $1,319.68* | 86.7% | -- | 2026 |
| Utah | $1,151.87* | 75.7% | Required | 2026 |
| Virginia | $1,318.58 | 86.6% | -- | 2026 |
| Vermont | $1,186.64 | 78% | Required | 2026 |
| Washington | $879.44 | 57.8% | -- | 2026 |
| Wisconsin | $1,397.65 | 91.8% | -- | 2009 |
| West Virginia | $1,131.18 | 74.3% | -- | 2026 |
| Wyoming | $1,381.48 | 90.8% | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
All 60 codes from 22010 to 22999 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 22856?
45 state Medicaid programs publish a fee-for-service rate for 22856 (artificial disc replacement, neck, single level), ranging from $610.43 in Florida to $2,554.92 in Alaska, with a median of 84.3% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 22856?
Alaska publishes the highest Medicaid rate for 22856 at $2,554.92 (167.9% of the national Medicare amount). Florida publishes the lowest at $610.43.
Does 22856 require prior authorization under Medicaid?
7 of the 45 publishing states flag 22856 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".