The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92558. 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
30
Median % of Medicare
--
Rate range
$5.73 - $43.83
92558 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $17.07 | -- | -- | 2026 |
| Alabama | $29.00 | -- | -- | 2026 |
| Arizona | $9.76 | -- | -- | 2025 |
| California | $8.52 | -- | -- | 2026 |
| Colorado | $11.27 | -- | -- | 2026 |
| Connecticut | $25.00 | -- | -- | 2015 |
| District of Columbia | $8.54 | -- | Not required | 2026 |
| Florida | $5.74 | -- | -- | 2026 |
| Iowa | $7.25 | -- | -- | 2024 |
| Illinois | $11.87 | -- | -- | 2015 |
| Kentucky | $7.77 | -- | -- | 2026 |
| Massachusetts | $7.04 | -- | -- | 2026 |
| Maine | $6.71 | -- | -- | 2026 |
| Michigan | $6.18 | -- | -- | 2026 |
| Minnesota | $7.20 | -- | -- | 2026 |
| Missouri | $27.93 | -- | Not required | 2019 |
| Montana | $43.83 | -- | Not required | 2026 |
| North Dakota | $10.51 | -- | Not required | 2026 |
| Nebraska | $18.28 | -- | -- | 2026 |
| New Hampshire | $15.33 | -- | Not required | 2026 |
| New Mexico | $31.88 | -- | -- | 2023 |
| Nevada | $6.34 | -- | -- | 2026 |
| Ohio | $9.69 | -- | -- | 2024 |
| Texas | $7.48* | -- | -- | 2020 |
| Utah | $7.40* | -- | Not required | 2026 |
| Virginia | $19.17 | -- | -- | 2014 |
| Vermont | $8.06 | -- | -- | 2026 |
| Washington | $5.73 | -- | -- | 2026 |
| Wisconsin | $6.90 | -- | -- | 2018 |
| West Virginia | $6.83 | -- | -- | 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
- 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 92558?
30 state Medicaid programs publish a fee-for-service rate for 92558 (otoacoustic emissions hearing screen, automated), ranging from $5.73 in Washington to $43.83 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92558?
Montana publishes the highest Medicaid rate for 92558 at $43.83. Washington publishes the lowest at $5.73.
Does 92558 require prior authorization under Medicaid?
No publishing state flags 92558 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.