The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92531. 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
$29/mo after the trial. Cancel anytime.
Publishing states
22
Median % of Medicare
--
Rate range
$2.50 - $72.61
92531 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $11.99 | -- | -- | 2026 |
| Arkansas | $8.80 | -- | -- | 2026 |
| Arizona | $15.25 | -- | -- | 2020 |
| Connecticut | $14.50 | -- | -- | 2013 |
| District of Columbia | $2.50 | -- | Not required | 2016 |
| Iowa | $56.59 | -- | -- | 2024 |
| Idaho | $33.54 | -- | Not required | 2025 |
| Illinois | $29.68 | -- | -- | 2026 |
| Kansas | $28.35 | -- | -- | 1987 |
| Kentucky | $6.96 | -- | -- | 2026 |
| Louisiana | $11.33 | -- | -- | 2026 |
| Maine | $5.59 | -- | -- | 2026 |
| Minnesota | $11.57 | -- | -- | 2026 |
| Missouri | $20.17 | -- | Not required | 2019 |
| North Carolina | $17.51 | -- | -- | 2025 |
| New Hampshire | $10.95 | -- | Not required | 2026 |
| New Mexico | $9.80 | -- | -- | 2025 |
| Nevada | $25.53 | -- | -- | 2024 |
| Texas | $10.57* | -- | -- | 2026 |
| Utah | $14.32* | -- | Not required | 2021 |
| Virginia | $11.79* | -- | -- | 2009 |
| Wisconsin | $72.61 | -- | -- | 2022 |
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 92531?
22 state Medicaid programs publish a fee-for-service rate for 92531 (spontaneous nystagmus test (retired code)), ranging from $2.50 in District of Columbia to $72.61 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92531?
Wisconsin publishes the highest Medicaid rate for 92531 at $72.61. District of Columbia publishes the lowest at $2.50.
Does 92531 require prior authorization under Medicaid?
No publishing state flags 92531 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.