The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 22858. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
41
Median % of Medicare
90.8%
Rate range
$226.47 - $809.77
22858 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $449.62 | 100.1% | -- | 2026 |
| Arkansas | $540.71 | 120.4% | -- | 2026 |
| Arizona | $514.29 | 114.5% | -- | 2025 |
| California | $422.56 | 94.1% | -- | 2026 |
| Colorado | $407.98 | 90.8% | Required | 2026 |
| Connecticut | $412.09 | 91.7% | -- | 2026 |
| District of Columbia | $391.82 | 87.2% | Not required | 2026 |
| Delaware | $432.13 | 96.2% | -- | 2026 |
| Georgia | $435.68 | 97% | -- | 2026 |
| Hawaii | $486.54 | 108.3% | -- | 2025 |
| Iowa | $379.53 | 84.5% | -- | 2024 |
| Idaho | $343.23 | 76.4% | Required | 2026 |
| Illinois | $350.39 | 78% | -- | 2024 |
| Indiana | $441.28 | 98.2% | -- | 2025 |
| Kansas | $408.60 | 91% | -- | 2024 |
| Kentucky | $401.85 | 89.5% | -- | 2026 |
| Louisiana | $470.57 | 104.8% | -- | 2026 |
| Massachusetts | $367.34 | 81.8% | -- | 2025 |
| Maine | $296.77 | 66.1% | -- | 2026 |
| Michigan | $286.49 | 63.8% | -- | 2026 |
| Minnesota | $302.07 | 67.2% | Required | 2026 |
| Missouri | $378.02 | 84.1% | Not required | 2022 |
| Montana | $689.05 | 153.4% | -- | 2026 |
| North Dakota | $448.34 | 99.8% | Not required | 2026 |
| Nebraska | $741.00 | 164.9% | -- | 2026 |
| New Jersey | $226.47 | 50.4% | Not required | 2026 |
| New Mexico | $744.76 | 165.8% | -- | 2025 |
| Nevada | $809.77 | 180.3% | -- | 2024 |
| New York | $486.81 | 108.4% | -- | 2026 |
| Ohio | $516.67 | 115% | -- | 2024 |
| Oklahoma | $396.50 | 88.3% | -- | 2026 |
| Oregon | $345.05* | 76.8% | -- | 2026 |
| South Carolina | $332.07 | 73.9% | -- | 2024 |
| Texas | $407.11* | 90.6% | -- | 2026 |
| Utah | $341.58* | 76% | Required | 2026 |
| Virginia | $389.18 | 86.6% | -- | 2026 |
| Vermont | $345.20 | 76.8% | Required | 2026 |
| Washington | $255.50 | 56.9% | -- | 2026 |
| Wisconsin | $447.69 | 99.7% | -- | 2015 |
| West Virginia | $342.09 | 76.2% | -- | 2026 |
| Wyoming | $423.97 | 94.4% | -- | 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
Frequently asked questions
How much does Medicaid pay for 22858?
41 state Medicaid programs publish a fee-for-service rate for 22858 (artificial disc replacement, neck, second level (add-on)), ranging from $226.47 in New Jersey to $809.77 in Nevada, with a median of 90.8% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 22858?
Nevada publishes the highest Medicaid rate for 22858 at $809.77 (180.3% of the national Medicare amount). New Jersey publishes the lowest at $226.47.
Does 22858 require prior authorization under Medicaid?
5 of the 41 publishing states flag 22858 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".