The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 70559. 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 - $1,085.29
70559 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $245.44 | -- | -- | 2026 |
| Alabama | $111.00* | -- | -- | 2026 |
| Arkansas | $205.14* | -- | -- | 2026 |
| Arizona | $71.48 | -- | -- | 2026 |
| California | $166.78 | -- | -- | 2026 |
| Colorado | $712.05 | -- | -- | 2026 |
| Connecticut | $265.96 | -- | -- | 2026 |
| District of Columbia | $84.76 | -- | Not required | 2004 |
| Delaware | $152.60* | -- | -- | 2026 |
| Georgia | $141.49* | -- | -- | 2026 |
| Iowa | $136.54 | -- | -- | 2024 |
| Idaho | $72.18 | -- | Not required | 2023 |
| Illinois | $85.64 | -- | -- | 2026 |
| Indiana | $145.14* | -- | -- | 2025 |
| Kansas | $128.62* | -- | -- | 2024 |
| Kentucky | $122.64* | -- | Required | 2026 |
| Massachusetts | $117.29* | -- | -- | 2025 |
| Maine | $108.36* | -- | -- | 2026 |
| Michigan | $99.90* | -- | -- | 2026 |
| Minnesota | $1,085.29 | -- | -- | 2026 |
| Missouri | $158.12 | -- | Not required | 2026 |
| Mississippi | $272.35 | -- | -- | 2026 |
| Montana | $668.21 | -- | -- | 2026 |
| North Carolina | $536.20 | -- | -- | 2025 |
| North Dakota | $169.72* | -- | Not required | 2026 |
| New Hampshire | $137.71 | -- | Required | 2026 |
| New Jersey | $68.00 | -- | Not required | 2026 |
| New Mexico | $157.92 | -- | -- | 2023 |
| New York | $548.39 | -- | -- | 2026 |
| Ohio | $808.53 | -- | -- | 2018 |
| Oklahoma | $290.34 | -- | -- | 2026 |
| Oregon | $125.21* | -- | -- | 2026 |
| Rhode Island | $791.65 | -- | -- | 2026 |
| South Carolina | $115.15* | -- | -- | 2024 |
| Texas | $124.56* | -- | -- | 2025 |
| Utah | $149.90* | -- | Not required | 2026 |
| Virginia | $135.71* | -- | -- | 2004 |
| Vermont | $128.74 | -- | -- | 2026 |
| Washington | $92.49* | -- | -- | 2026 |
| Wisconsin | $162.43 | -- | -- | 2008 |
| West Virginia | $226.19 | -- | -- | 2026 |
| Wyoming | $135.30 | -- | -- | 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 70559?
42 state Medicaid programs publish a fee-for-service rate for 70559 (brain MRI during surgery, without then with contrast), ranging from $68.00 in New Jersey to $1,085.29 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for 70559?
Minnesota publishes the highest Medicaid rate for 70559 at $1,085.29. New Jersey publishes the lowest at $68.00.
Does 70559 require prior authorization under Medicaid?
2 of the 42 publishing states flag 70559 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".