The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93315. 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
47
Median % of Medicare
--
Rate range
$68.31 - $867.99
93315 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $234.38* | -- | -- | 2026 |
| Alabama | $192.00 | -- | -- | 2026 |
| Arkansas | $337.65 | -- | -- | 2026 |
| Arizona | $356.82 | -- | -- | 2020 |
| California | $193.23 | -- | -- | 2026 |
| Colorado | $232.86 | -- | -- | 2026 |
| Connecticut | $233.20 | -- | -- | 2026 |
| District of Columbia | $163.00 | -- | Not required | 2000 |
| Delaware | $120.88* | -- | -- | 2026 |
| Georgia | $261.69 | -- | -- | 2026 |
| Hawaii | $242.18 | -- | -- | 2025 |
| Iowa | $235.26 | -- | -- | 2024 |
| Idaho | $103.25* | -- | Not required | 2026 |
| Illinois | $162.55 | -- | -- | 2024 |
| Indiana | $315.90 | -- | -- | 2024 |
| Kansas | $390.52 | -- | -- | 2009 |
| Kentucky | $218.65 | -- | -- | 2026 |
| Louisiana | $247.35 | -- | -- | 2026 |
| Massachusetts | $92.24* | -- | -- | 2026 |
| Maine | $190.82 | -- | -- | 2026 |
| Michigan | $191.92 | -- | -- | 2026 |
| Minnesota | $189.11 | -- | -- | 2026 |
| Missouri | $234.55 | -- | Not required | 2022 |
| Mississippi | $106.42* | -- | -- | 2026 |
| Montana | $867.99 | -- | -- | 2026 |
| North Carolina | $234.89 | -- | -- | 2025 |
| North Dakota | $137.05* | -- | Not required | 2026 |
| Nebraska | $411.30 | -- | -- | 2026 |
| New Hampshire | $178.96 | -- | Not required | 2026 |
| New Jersey | $253.77 | -- | Not required | 2026 |
| New Mexico | $177.89 | -- | -- | 2025 |
| Nevada | $300.59 | -- | -- | 2024 |
| New York | $239.37 | -- | -- | 2026 |
| Ohio | $210.32 | -- | -- | 2000 |
| Oklahoma | $578.43 | -- | -- | 2026 |
| Oregon | $99.90* | -- | -- | 2026 |
| Pennsylvania | $264.00 | -- | -- | 1997 |
| Rhode Island | $810.50 | -- | -- | 2026 |
| South Carolina | $256.81 | -- | -- | 2011 |
| Texas | $189.24* | -- | -- | 2025 |
| Utah | $95.22* | -- | Not required | 2026 |
| Virginia | $68.31 | -- | -- | 2026 |
| Vermont | $103.50 | -- | -- | 2026 |
| Washington | $343.61 | -- | -- | 2026 |
| Wisconsin | $419.33 | -- | -- | 2017 |
| West Virginia | $440.18 | -- | -- | 2026 |
| Wyoming | $106.54 | -- | -- | 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
- 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 93315?
47 state Medicaid programs publish a fee-for-service rate for 93315 (echocardiogram through the esophagus, congenital, complete), ranging from $68.31 in Virginia to $867.99 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93315?
Montana publishes the highest Medicaid rate for 93315 at $867.99. Virginia publishes the lowest at $68.31.
Does 93315 require prior authorization under Medicaid?
No publishing state flags 93315 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.