The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90586. 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
23
Median % of Medicare
--
Rate range
$4.00 - $202.12
90586 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $162.98 | -- | -- | 2026 |
| Arkansas | $12.75 | -- | -- | 2026 |
| Arizona | $189.25 | -- | -- | 2026 |
| Connecticut | $163.97 | -- | -- | 2026 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $159.08 | -- | -- | 2024 |
| Idaho | $141.67 | -- | Not required | 2026 |
| Indiana | $191.07 | -- | -- | 2026 |
| Louisiana | $110.07 | -- | -- | 2026 |
| Maine | $163.97 | -- | -- | 2026 |
| Minnesota | $163.97 | -- | -- | 2026 |
| Montana | $163.97 | -- | -- | 2026 |
| Nebraska | $202.12 | -- | -- | 2026 |
| New Jersey | $187.36 | -- | Not required | 2026 |
| New Mexico | $149.95 | -- | -- | 2025 |
| Oklahoma | $153.53 | -- | -- | 2026 |
| South Carolina | $186.22 | -- | -- | 2026 |
| Texas | $139.76* | -- | -- | 2026 |
| Utah | $163.97* | -- | Not required | 2026 |
| Virginia | $163.97 | -- | -- | 2026 |
| Washington | $163.97 | -- | -- | 2026 |
| Wisconsin | $162.98 | -- | -- | 2026 |
| Wyoming | $116.82 | -- | -- | 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 physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
Frequently asked questions
How much does Medicaid pay for 90586?
23 state Medicaid programs publish a fee-for-service rate for 90586 (bCG for bladder cancer, intravesical), ranging from $4.00 in Hawaii to $202.12 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90586?
Nebraska publishes the highest Medicaid rate for 90586 at $202.12. Hawaii publishes the lowest at $4.00.
Does 90586 require prior authorization under Medicaid?
No publishing state flags 90586 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.