The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 95131. 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
$29/mo after the trial. Cancel anytime.
Publishing states
26
Median % of Medicare
--
Rate range
$4.30 - $54.77
95131 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $34.00 | -- | -- | 2026 |
| Arkansas | $28.60 | -- | -- | 2026 |
| Arizona | $12.11 | -- | -- | 2020 |
| Colorado | $21.86 | -- | -- | 2026 |
| Connecticut | $24.78 | -- | -- | 2008 |
| District of Columbia | $15.00 | -- | Not required | 1987 |
| Georgia | $7.05 | -- | -- | 2026 |
| Iowa | $6.42 | -- | -- | 2024 |
| Idaho | $23.09 | -- | Not required | 2025 |
| Illinois | $8.37 | -- | -- | 2026 |
| Indiana | $9.71 | -- | -- | 2025 |
| Kansas | $4.30 | -- | -- | 1987 |
| Louisiana | $10.52 | -- | -- | 2026 |
| Maine | $54.77 | -- | -- | 2026 |
| Minnesota | $20.84 | -- | -- | 2026 |
| Missouri | $6.95 | -- | Not required | 2019 |
| North Carolina | $34.46 | -- | -- | 2022 |
| Nebraska | $38.38 | -- | -- | 2026 |
| New Hampshire | $5.48 | -- | Not required | 2026 |
| New Jersey | $20.00 | -- | Not required | 2026 |
| New Mexico | $20.62 | -- | -- | 2025 |
| Nevada | $37.47 | -- | -- | 2024 |
| Utah | $14.90* | -- | Not required | 2024 |
| Virginia | $5.50* | -- | -- | 1984 |
| Wisconsin | $26.17 | -- | -- | 2008 |
| Wyoming | $22.63 | -- | -- | 2021 |
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 95131?
26 state Medicaid programs publish a fee-for-service rate for 95131 (insect venom allergy shot with extract, 2 venoms), ranging from $4.30 in Kansas to $54.77 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for 95131?
Maine publishes the highest Medicaid rate for 95131 at $54.77. Kansas publishes the lowest at $4.30.
Does 95131 require prior authorization under Medicaid?
No publishing state flags 95131 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.