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
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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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
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".