The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90868. 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
$23.74 - $262.40
90868 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $119.39 | -- | -- | 2021 |
| California | $123.15 | -- | -- | 2026 |
| Connecticut | $132.85 | -- | -- | 2026 |
| Delaware | $23.74 | -- | -- | 2026 |
| Iowa | $130.24 | -- | -- | 2025 |
| Illinois | $150.84 | -- | -- | 2025 |
| Indiana | $142.09 | -- | Required | 2024 |
| Kentucky | $167.91 | -- | -- | 2026 |
| Maine | $160.30 | -- | -- | 2026 |
| Michigan | $62.48 | -- | -- | 2026 |
| Minnesota | $118.10 | -- | Required | 2026 |
| Missouri | $109.76 | -- | Not required | 2022 |
| New Hampshire | $136.95 | -- | Required | 2026 |
| New Jersey | $102.58 | -- | Not required | 2026 |
| New Mexico | $205.42 | -- | -- | 2025 |
| Nevada | $181.40 | -- | -- | 2024 |
| New York | $177.13 | -- | -- | 2026 |
| Ohio | $144.93 | -- | -- | 2022 |
| Pennsylvania | $104.87 | -- | -- | 2024 |
| Rhode Island | $262.40 | -- | -- | 2026 |
| Utah | $125.10* | -- | Required | 2026 |
| Washington | $117.33 | -- | -- | 2026 |
| Wyoming | $76.55 | -- | Required | 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 behavioral health codes
- 90791 - Psychiatric diagnostic evaluation, no medical services
- 90792 - Psychiatric diagnostic evaluation with medical services
- 90832 - Psychotherapy, 30 minutes
- 90833 - Psychotherapy, 30 minutes, added to an E&M visit
- 90834 - Psychotherapy, 45 minutes
- 90836 - Psychotherapy, 45 minutes, added to an E&M visit
- 90837 - Psychotherapy, 60 minutes
- 90838 - Psychotherapy, 60 minutes, added to an E&M visit
Frequently asked questions
How much does Medicaid pay for 90868?
23 state Medicaid programs publish a fee-for-service rate for 90868 (transcranial magnetic stimulation (TMS), subsequent treatment), ranging from $23.74 in Delaware to $262.40 in Rhode Island. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90868?
Rhode Island publishes the highest Medicaid rate for 90868 at $262.40. Delaware publishes the lowest at $23.74.
Does 90868 require prior authorization under Medicaid?
5 of the 23 publishing states flag 90868 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".