The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 70558. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
42
Median % of Medicare
--
Rate range
$68.00 - $1,178.69
70558 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $264.51 | -- | -- | 2026 |
| Alabama | $110.00* | -- | -- | 2026 |
| Arkansas | $204.22* | -- | -- | 2026 |
| Arizona | $71.48 | -- | -- | 2026 |
| California | $177.25 | -- | -- | 2026 |
| Colorado | $846.51 | -- | -- | 2026 |
| Connecticut | $272.48 | -- | -- | 2026 |
| District of Columbia | $84.43 | -- | Not required | 2004 |
| Delaware | $165.59* | -- | -- | 2026 |
| Georgia | $140.89* | -- | -- | 2026 |
| Iowa | $134.25 | -- | -- | 2024 |
| Idaho | $72.18 | -- | Not required | 2023 |
| Illinois | $85.17 | -- | -- | 2026 |
| Indiana | $155.91* | -- | -- | 2025 |
| Kansas | $135.73* | -- | -- | 2024 |
| Kentucky | $122.12* | -- | Required | 2026 |
| Massachusetts | $123.74* | -- | -- | 2025 |
| Maine | $117.98* | -- | -- | 2026 |
| Michigan | $108.20* | -- | -- | 2026 |
| Minnesota | $1,178.69 | -- | Required | 2026 |
| Missouri | $158.12 | -- | Not required | 2026 |
| Mississippi | $282.92 | -- | -- | 2026 |
| Montana | $666.81 | -- | -- | 2026 |
| North Carolina | $527.96 | -- | -- | 2025 |
| North Dakota | $187.37* | -- | Not required | 2026 |
| New Hampshire | $147.32 | -- | Required | 2026 |
| New Jersey | $68.00 | -- | Not required | 2026 |
| New Mexico | $162.59 | -- | -- | 2023 |
| New York | $443.22 | -- | -- | 2026 |
| Ohio | $488.64 | -- | -- | 2018 |
| Oklahoma | $301.69 | -- | -- | 2026 |
| Oregon | $136.90* | -- | -- | 2026 |
| Rhode Island | $628.12 | -- | -- | 2026 |
| South Carolina | $122.44* | -- | -- | 2024 |
| Texas | $132.58* | -- | -- | 2025 |
| Utah | $162.06* | -- | Not required | 2026 |
| Virginia | $146.99* | -- | -- | 2004 |
| Vermont | $141.58 | -- | -- | 2026 |
| Washington | $101.47* | -- | -- | 2026 |
| Wisconsin | $161.77 | -- | -- | 2008 |
| West Virginia | $232.53 | -- | -- | 2026 |
| Wyoming | $143.85 | -- | -- | 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 70558?
42 state Medicaid programs publish a fee-for-service rate for 70558 (brain MRI during surgery with contrast), ranging from $68.00 in New Jersey to $1,178.69 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for 70558?
Minnesota publishes the highest Medicaid rate for 70558 at $1,178.69. New Jersey publishes the lowest at $68.00.
Does 70558 require prior authorization under Medicaid?
3 of the 42 publishing states flag 70558 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".