The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76831. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
46
Median % of Medicare
79.6%
Rate range
$48.93 - $225.07
76831 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $186.84 | 159.4% | -- | 2026 |
| Alabama | $48.93 | -- | -- | 2026 |
| Arkansas | $108.91 | 92.9% | -- | 2026 |
| Arizona | $122.64 | 104.6% | -- | 2022 |
| California | $75.52 | 64.4% | -- | 2026 |
| Colorado | $102.12 | 87.1% | -- | 2026 |
| Connecticut | $89.43 | 76.3% | -- | 2026 |
| District of Columbia | $108.08 | 92.2% | Not required | 2026 |
| Delaware | $113.76 | 97% | -- | 2026 |
| Georgia | $84.66 | 72.2% | -- | 2026 |
| Hawaii | $77.59 | 66.2% | -- | 2025 |
| Iowa | $75.56 | 64.5% | -- | 2024 |
| Idaho | $94.16 | 80.3% | Not required | 2026 |
| Illinois | $72.71 | 62% | -- | 2024 |
| Indiana | $106.77 | 91.1% | -- | 2025 |
| Kansas | $93.02 | 79.3% | -- | 2024 |
| Kentucky | $70.10 | 59.8% | -- | 2026 |
| Louisiana | $73.17 | 62.4% | -- | 2026 |
| Massachusetts | $91.89 | 78.4% | -- | 2025 |
| Maine | $79.08 | 67.5% | -- | 2026 |
| Michigan | $74.76 | 63.8% | -- | 2026 |
| Minnesota | $91.34 | 77.9% | -- | 2026 |
| Missouri | $92.49 | 78.9% | Not required | 2022 |
| Mississippi | $181.20 | -- | -- | 2026 |
| Montana | $155.26 | 132.4% | -- | 2026 |
| North Carolina | $93.09 | 79.4% | -- | 2025 |
| North Dakota | $130.67 | 111.5% | Not required | 2026 |
| Nebraska | $134.90 | 115.1% | -- | 2026 |
| New Hampshire | $105.47 | 90% | Not required | 2026 |
| New Jersey | $60.24 | 51.4% | Not required | 2026 |
| New Mexico | $131.57 | 112.2% | -- | 2023 |
| Nevada | $137.50 | 117.3% | -- | 2024 |
| New York | $106.57 | 90.9% | -- | 2026 |
| Ohio | $72.39 | 61.8% | -- | 2024 |
| Oklahoma | $100.07 | 85.4% | -- | 2026 |
| Oregon | $95.23* | 81.2% | -- | 2026 |
| Rhode Island | $225.07 | -- | -- | 2026 |
| South Carolina | $82.91 | 70.7% | -- | 2024 |
| Texas | $93.29* | 79.6% | -- | 2025 |
| Utah | $109.19* | 93.1% | Required | 2026 |
| Virginia | $119.03 | 101.5% | -- | 2026 |
| Vermont | $98.65 | 84.2% | -- | 2026 |
| Washington | $72.62 | 61.9% | -- | 2026 |
| Wisconsin | $84.68 | 72.2% | -- | 2008 |
| West Virginia | $77.10 | 65.8% | -- | 2026 |
| Wyoming | $99.27 | 84.7% | -- | 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
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
- 70160 - Nasal bone X-ray
- 70200 - Eye socket X-ray, complete, 4 or more views
- 70210 - Sinus X-ray, up to 2 views
- 70220 - Sinus X-ray, 3 or more views
Frequently asked questions
How much does Medicaid pay for 76831?
46 state Medicaid programs publish a fee-for-service rate for 76831 (uterus ultrasound with saline infusion), ranging from $48.93 in Alabama to $225.07 in Rhode Island, with a median of 79.6% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76831?
Rhode Island publishes the highest Medicaid rate for 76831 at $225.07. Alabama publishes the lowest at $48.93.
Does 76831 require prior authorization under Medicaid?
1 of the 46 publishing states flag 76831 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".