The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92551. 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
--
Rate range
$5.48 - $49.98
92551 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $18.58 | -- | -- | 2026 |
| Alabama | $15.75 | -- | -- | 2026 |
| Arkansas | $9.90 | -- | -- | 2026 |
| Arizona | $13.77 | -- | -- | 2024 |
| California | $11.37 | -- | -- | 2026 |
| Colorado | $13.18 | -- | -- | 2026 |
| Connecticut | $13.15 | -- | -- | 2026 |
| District of Columbia | $12.58 | -- | Not required | 2026 |
| Delaware | $12.91 | -- | -- | 2026 |
| Georgia | $8.05 | -- | -- | 2026 |
| Hawaii | $14.34 | -- | -- | 2025 |
| Iowa | $12.25 | -- | -- | 2024 |
| Idaho | $14.01* | -- | Not required | 2025 |
| Illinois | $14.79 | -- | -- | 2024 |
| Indiana | $11.33 | -- | -- | 2025 |
| Kansas | $13.83 | -- | -- | 1995 |
| Kentucky | $8.60 | -- | -- | 2019 |
| Louisiana | $8.27 | -- | -- | 2026 |
| Massachusetts | $9.57 | -- | -- | 2026 |
| Maine | $8.83 | -- | -- | 2026 |
| Michigan | $8.52 | -- | -- | 2026 |
| Minnesota | $10.29 | -- | -- | 2026 |
| Missouri | $49.98 | -- | Not required | 2022 |
| Mississippi | $10.32 | -- | -- | 2026 |
| Montana | $17.26 | -- | Not required | 2026 |
| North Carolina | $8.02 | -- | -- | 2025 |
| North Dakota | $14.64 | -- | Not required | 2026 |
| Nebraska | $15.99 | -- | -- | 2026 |
| New Hampshire | $5.48 | -- | Not required | 2026 |
| New Jersey | $16.10 | -- | Not required | 2026 |
| New Mexico | $17.08 | -- | -- | 2025 |
| Nevada | $11.14 | -- | -- | 2024 |
| New York | $6.44 | -- | -- | 2026 |
| Ohio | $6.99 | -- | -- | 2024 |
| Oklahoma | $11.12 | -- | -- | 2026 |
| Pennsylvania | $8.00 | -- | -- | 2023 |
| Rhode Island | $22.12 | -- | -- | 2026 |
| South Carolina | $8.04 | -- | -- | 2024 |
| Texas | $10.16* | -- | -- | 2025 |
| Utah | $9.85* | -- | Not required | 2026 |
| Virginia | $11.57* | -- | -- | 2026 |
| Vermont | $11.19 | -- | -- | 2026 |
| Washington | $8.41 | -- | -- | 2026 |
| Wisconsin | $15.10 | -- | -- | 2022 |
| West Virginia | $8.54 | -- | -- | 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 physician codes
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 92551?
45 state Medicaid programs publish a fee-for-service rate for 92551 (hearing screening, pure tone, air only), ranging from $5.48 in New Hampshire to $49.98 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92551?
Missouri publishes the highest Medicaid rate for 92551 at $49.98. New Hampshire publishes the lowest at $5.48.
Does 92551 require prior authorization under Medicaid?
No publishing state flags 92551 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.