Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92605. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
16
Median % of Medicare
--
Rate range
$34.76 - $170.34
92605 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $138.95 | -- | -- | 2026 |
| Arizona | $93.44 | -- | -- | 2025 |
| California | $34.76 | -- | -- | 2026 |
| Colorado | $170.34 | -- | -- | 2026 |
| Delaware | $90.89 | -- | -- | 2026 |
| Hawaii | $86.32 | -- | -- | 2025 |
| Kentucky | $73.63 | -- | -- | 2026 |
| Massachusetts | $67.81 | -- | -- | 2026 |
| Maine | $64.66 | -- | -- | 2026 |
| Minnesota | $70.24 | -- | Conditional | 2026 |
| North Dakota | $102.13 | -- | Not required | 2026 |
| New Hampshire | $60.11 | -- | Not required | 2026 |
| New Mexico | $130.19 | -- | -- | 2025 |
| Nevada | $85.84 | -- | -- | 2024 |
| South Carolina | $60.83 | -- | -- | 2024 |
| West Virginia | $65.64 | -- | -- | 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
All 103 codes from 92502 to 92998 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 92605?
16 state Medicaid programs publish a fee-for-service rate for 92605 (non-speech communication device evaluation, first hour), ranging from $34.76 in California to $170.34 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92605?
Colorado publishes the highest Medicaid rate for 92605 at $170.34. California publishes the lowest at $34.76.
Does 92605 require prior authorization under Medicaid?
1 of the 16 publishing states flag 92605 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".