The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92596. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
27
Median % of Medicare
75%
Rate range
$10.95 - $115.68
92596 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $115.68 | 148% | -- | 2026 |
| Alabama | $16.00 | 20.5% | -- | 2026 |
| Arizona | $81.59 | 104.4% | -- | 2025 |
| Connecticut | $50.84 | 65% | -- | 2026 |
| Georgia | $20.70 | 26.5% | -- | 2026 |
| Hawaii | $88.16 | 112.8% | -- | 2025 |
| Iowa | $17.80 | 22.8% | -- | 2024 |
| Idaho | $62.00 | 79.3% | Not required | 2026 |
| Illinois | $47.09 | 60.2% | -- | 2024 |
| Indiana | $71.43 | 91.4% | -- | 2026 |
| Kentucky | $16.48 | 21.1% | -- | 2026 |
| Massachusetts | $58.59 | 75% | -- | 2026 |
| Minnesota | $61.75 | 79% | Conditional | 2026 |
| Mississippi | $60.53 | 77.4% | -- | 2026 |
| Montana | $108.98 | 139.4% | Not required | 2026 |
| North Carolina | $26.04 | 33.3% | -- | 2025 |
| North Dakota | $87.49 | 111.9% | Not required | 2026 |
| Nebraska | $32.90 | 42.1% | -- | 2026 |
| New Hampshire | $10.95 | 14% | Not required | 2026 |
| New Mexico | $103.15 | 132% | -- | 2025 |
| Nevada | $40.15 | 51.4% | -- | 2024 |
| Oklahoma | $65.18 | 83.4% | -- | 2026 |
| Oregon | $63.74* | 81.6% | -- | 2026 |
| Utah | $57.66* | 73.8% | Not required | 2026 |
| Wisconsin | $48.15 | 61.6% | -- | 2022 |
| West Virginia | $49.53 | 63.4% | -- | 2026 |
| Wyoming | $69.80 | 89.3% | -- | 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 92596?
27 state Medicaid programs publish a fee-for-service rate for 92596 (ear protector attenuation measurement), ranging from $10.95 in New Hampshire to $115.68 in Alaska, with a median of 75% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92596?
Alaska publishes the highest Medicaid rate for 92596 at $115.68 (148% of the national Medicare amount). New Hampshire publishes the lowest at $10.95.
Does 92596 require prior authorization under Medicaid?
1 of the 27 publishing states flag 92596 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".