The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76940. 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
46
Median % of Medicare
--
Rate range
$72.58 - $432.65
76940 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $156.91 | -- | -- | 2026 |
| Alabama | $110.17 | -- | -- | 2026 |
| Arkansas | $189.35 | -- | -- | 2026 |
| Arizona | $120.54 | -- | -- | 2020 |
| California | $139.70 | -- | -- | 2026 |
| Colorado | $146.04 | -- | -- | 2026 |
| Connecticut | $140.94 | -- | -- | 2026 |
| District of Columbia | $177.77 | -- | Not required | 2004 |
| Delaware | $99.53* | -- | -- | 2026 |
| Georgia | $148.84 | -- | -- | 2026 |
| Hawaii | $128.56 | -- | -- | 2025 |
| Iowa | $123.18 | -- | -- | 2024 |
| Idaho | $82.27* | -- | Not required | 2026 |
| Illinois | $109.76 | -- | -- | 2024 |
| Indiana | $168.04 | -- | -- | 2024 |
| Kansas | $167.33 | -- | -- | 2024 |
| Kentucky | $123.68 | -- | -- | 2026 |
| Louisiana | $121.34 | -- | -- | 2026 |
| Massachusetts | $72.58* | -- | -- | 2025 |
| Maine | $116.46 | -- | -- | 2026 |
| Michigan | $122.14 | -- | -- | 2026 |
| Minnesota | $122.21 | -- | -- | 2026 |
| Missouri | $157.84 | -- | Not required | 2022 |
| Mississippi | $127.01 | -- | -- | 2026 |
| Montana | $432.65 | -- | -- | 2026 |
| North Carolina | $134.93 | -- | -- | 2025 |
| North Dakota | $108.89* | -- | Not required | 2026 |
| Nebraska | $136.57* | -- | -- | 2026 |
| New Hampshire | $132.08 | -- | Not required | 2026 |
| New Jersey | $92.90 | -- | Not required | 2026 |
| New Mexico | $119.10 | -- | -- | 2023 |
| Nevada | $185.93 | -- | -- | 2024 |
| New York | $139.35 | -- | -- | 2026 |
| Ohio | $117.75 | -- | -- | 2018 |
| Oklahoma | $135.55 | -- | -- | 2026 |
| Oregon | $81.10* | -- | -- | 2026 |
| Rhode Island | $89.40 | -- | -- | 2026 |
| South Carolina | $133.26 | -- | -- | 2011 |
| Texas | $79.12* | -- | -- | 2025 |
| Utah | $97.79* | -- | Not required | 2026 |
| Virginia | $134.71 | -- | -- | 2009 |
| Vermont | $82.80 | -- | -- | 2026 |
| Washington | $112.34 | -- | -- | 2026 |
| Wisconsin | $165.15 | -- | -- | 2008 |
| West Virginia | $151.10 | -- | -- | 2026 |
| Wyoming | $85.22 | -- | -- | 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 76940?
46 state Medicaid programs publish a fee-for-service rate for 76940 (ultrasound guidance for tissue ablation), ranging from $72.58 in Massachusetts to $432.65 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76940?
Montana publishes the highest Medicaid rate for 76940 at $432.65. Massachusetts publishes the lowest at $72.58.
Does 76940 require prior authorization under Medicaid?
No publishing state flags 76940 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.