The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 70555. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
40
Median % of Medicare
--
Rate range
$62.58 - $637.79
70555 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $216.72* | -- | -- | 2026 |
| Arkansas | $124.91* | -- | -- | 2026 |
| Arizona | $622.74 | -- | -- | 2020 |
| California | $99.01 | -- | -- | 2026 |
| Colorado | $434.84 | -- | -- | 2026 |
| Connecticut | $578.75 | -- | Required | 2026 |
| District of Columbia | $99.22* | -- | Not required | 2026 |
| Delaware | $111.63* | -- | -- | 2026 |
| Iowa | $89.72 | -- | -- | 2024 |
| Idaho | $94.81 | -- | Not required | 2021 |
| Illinois | $62.58 | -- | -- | 2007 |
| Indiana | $637.79 | -- | -- | 2024 |
| Kansas | $463.79 | -- | -- | 2024 |
| Kentucky | $94.17* | -- | Required | 2026 |
| Louisiana | $72.10 | -- | -- | 2026 |
| Massachusetts | $88.16* | -- | -- | 2025 |
| Maine | $80.02* | -- | -- | 2026 |
| Michigan | $301.93 | -- | -- | 2026 |
| Minnesota | $512.79 | -- | -- | 2026 |
| Missouri | $215.09 | -- | Not required | 2026 |
| Mississippi | $98.44* | -- | -- | 2026 |
| Montana | $529.80 | -- | -- | 2026 |
| North Carolina | $331.25 | -- | -- | 2025 |
| North Dakota | $125.79* | -- | Not required | 2026 |
| New Hampshire | $533.98 | -- | Required | 2026 |
| New Jersey | $98.16 | -- | Not required | 2026 |
| New Mexico | $141.27 | -- | -- | 2023 |
| New York | $103.85* | -- | -- | 2026 |
| Ohio | $381.46 | -- | -- | 2018 |
| Oklahoma | $103.46 | -- | -- | 2026 |
| Oregon | $91.96* | -- | -- | 2026 |
| Rhode Island | $511.51 | -- | -- | 2026 |
| South Carolina | $86.97* | -- | -- | 2024 |
| Texas | $93.56* | -- | -- | 2025 |
| Virginia | $98.96* | -- | -- | 2026 |
| Vermont | $95.03 | -- | -- | 2026 |
| Washington | $591.76 | -- | -- | 2026 |
| Wisconsin | $98.07* | -- | -- | 2008 |
| West Virginia | $80.76* | -- | -- | 2026 |
| Wyoming | $101.79 | -- | -- | 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 lab & imaging codes
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
Frequently asked questions
How much does Medicaid pay for 70555?
40 state Medicaid programs publish a fee-for-service rate for 70555 (functional brain MRI, physician-administered testing), ranging from $62.58 in Illinois to $637.79 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 70555?
Indiana publishes the highest Medicaid rate for 70555 at $637.79. Illinois publishes the lowest at $62.58.
Does 70555 require prior authorization under Medicaid?
3 of the 40 publishing states flag 70555 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".