The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 77065. 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
85.5%
Rate range
$59.44 - $198.33
77065 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $198.33 | 160.1% | -- | 2026 |
| Arkansas | $147.36 | 118.9% | -- | 2026 |
| Arizona | $131.38 | 106% | -- | 2022 |
| California | $117.08 | 94.5% | -- | 2026 |
| Colorado | $119.16 | 96.2% | -- | 2026 |
| Connecticut | $98.60 | 79.6% | -- | 2026 |
| District of Columbia | $114.06 | 92.1% | Not required | 2026 |
| Delaware | $120.25 | 97% | -- | 2026 |
| Georgia | $116.55 | 94.1% | -- | 2026 |
| Hawaii | $83.29 | 67.2% | -- | 2025 |
| Iowa | $96.59 | 78% | -- | 2024 |
| Idaho | $99.55 | 80.3% | Not required | 2026 |
| Illinois | $123.74 | 99.9% | -- | 2026 |
| Indiana | $114.87 | 92.7% | -- | 2025 |
| Kansas | $99.82 | 80.6% | -- | 2024 |
| Kentucky | $101.11 | 81.6% | -- | 2026 |
| Louisiana | $96.59 | 78% | -- | 2026 |
| Massachusetts | $98.51 | 79.5% | -- | 2025 |
| Maine | $83.64 | 67.5% | -- | 2026 |
| Michigan | $79.02 | 63.8% | -- | 2026 |
| Minnesota | $96.48 | 77.9% | -- | 2026 |
| Missouri | $107.41 | -- | Not required | 2026 |
| Mississippi | $99.11 | 80% | -- | 2026 |
| Montana | $171.15 | 138.1% | -- | 2026 |
| North Carolina | $94.79 | 76.5% | -- | 2025 |
| North Dakota | $137.81 | 111.2% | Not required | 2026 |
| Nebraska | $180.44 | 145.6% | -- | 2026 |
| New Hampshire | $113.52 | 91.6% | Not required | 2026 |
| New Jersey | $63.63 | 51.4% | Not required | 2026 |
| New Mexico | $141.69 | 114.3% | -- | 2023 |
| Nevada | $145.80 | 117.7% | -- | 2024 |
| New York | $114.02 | 92% | -- | 2026 |
| Ohio | $59.44 | 48% | -- | 2024 |
| Oklahoma | $105.92 | 85.5% | -- | 2026 |
| Oregon | $100.59* | 81.2% | -- | 2026 |
| Pennsylvania | $102.41 | 82.6% | -- | 2017 |
| Rhode Island | $137.06 | 110.6% | -- | 2026 |
| South Carolina | $89.36 | 72.1% | -- | 2024 |
| Texas | $100.51* | 81.1% | -- | 2021 |
| Utah | $115.51* | 93.2% | Not required | 2026 |
| Virginia | $125.81 | 101.5% | -- | 2026 |
| Vermont | $104.17 | 84.1% | -- | 2026 |
| Washington | $76.63 | 61.8% | -- | 2026 |
| Wisconsin | $118.52 | 95.7% | -- | 2026 |
| West Virginia | $81.74 | 66% | -- | 2026 |
| Wyoming | $109.31 | 88.2% | -- | 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 77065?
46 state Medicaid programs publish a fee-for-service rate for 77065 (diagnostic mammogram, one breast), ranging from $59.44 in Ohio to $198.33 in Alaska, with a median of 85.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 77065?
Alaska publishes the highest Medicaid rate for 77065 at $198.33 (160.1% of the national Medicare amount). Ohio publishes the lowest at $59.44.
Does 77065 require prior authorization under Medicaid?
No publishing state flags 77065 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.