The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 87400. 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
45
Median % of Medicare
86.5%
Rate range
$5.79 - $543.82
87400 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $14.13 | 100% | -- | 2026 |
| Alabama | $9.89 | -- | -- | 2026 |
| Arkansas | $6.43 | 45.5% | -- | 2026 |
| Arizona | $14.13 | -- | -- | 2019 |
| California | $5.79 | 41% | -- | 2026 |
| Connecticut | $11.45 | 81% | -- | 2015 |
| District of Columbia | $11.30 | 80% | Not required | 2019 |
| Delaware | $13.85 | 98% | -- | 2026 |
| Georgia | $543.82 | 3848.7% | -- | 2026 |
| Hawaii | $16.58 | 117.3% | -- | 2025 |
| Iowa | $7.41 | 52.4% | -- | 2024 |
| Idaho | $12.21 | 86.4% | Not required | 2025 |
| Illinois | $9.62 | 68.1% | -- | 2024 |
| Indiana | $14.13 | 100% | -- | 2024 |
| Kansas | $12.01 | 85% | -- | 2023 |
| Kentucky | $14.13 | 100% | -- | 2026 |
| Louisiana | $12.01 | 85% | -- | 2026 |
| Massachusetts | $12.46 | 88.2% | -- | 2024 |
| Maine | $11.71 | 82.9% | -- | 2026 |
| Michigan | $11.70 | 82.8% | -- | 2026 |
| Minnesota | $14.13 | 100% | -- | 2019 |
| Missouri | $12.72 | -- | Not required | 2026 |
| Mississippi | $12.72 | 90% | -- | 2026 |
| Montana | $14.13 | 100% | -- | 2026 |
| North Carolina | $14.13 | 100% | -- | 2025 |
| North Dakota | $14.13 | 100% | Not required | 2026 |
| Nebraska | $14.13 | 100% | -- | 2026 |
| New Hampshire | $12.22 | 86.5% | Not required | 2026 |
| New Jersey | $11.30 | 80% | Not required | 2026 |
| New Mexico | $16.96 | 120% | -- | 2023 |
| Nevada | $8.59 | 60.8% | -- | 2024 |
| Ohio | $10.60 | 75% | -- | 2019 |
| Oklahoma | $12.57 | 89% | -- | 2026 |
| Oregon | $11.30* | 80% | -- | 2026 |
| Pennsylvania | $6.09 | 43.1% | -- | 2024 |
| Rhode Island | $23.80 | -- | -- | 2026 |
| South Carolina | $11.02 | 78% | -- | 2024 |
| Texas | $19.36* | 137% | -- | 2021 |
| Utah | $14.09* | 99.7% | Not required | 2026 |
| Virginia | $6.93 | 49% | -- | 2014 |
| Vermont | $13.78 | 97.5% | -- | 2026 |
| Washington | $11.30 | 80% | -- | 2026 |
| Wisconsin | $8.46 | 59.9% | -- | 2008 |
| West Virginia | $12.72 | 90% | -- | 2026 |
| Wyoming | $14.70 | 104% | -- | 2021 |
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 87400?
45 state Medicaid programs publish a fee-for-service rate for 87400 (influenza A/B antigen test by immunoassay), ranging from $5.79 in California to $543.82 in Georgia, with a median of 86.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 87400?
Georgia publishes the highest Medicaid rate for 87400 at $543.82 (3848.7% of the national Medicare amount). California publishes the lowest at $5.79.
Does 87400 require prior authorization under Medicaid?
No publishing state flags 87400 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.