The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 95709. 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
34
Median % of Medicare
--
Rate range
$79.28 - $806.44
95709 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $279.94 | -- | -- | 2026 |
| Arkansas | $344.82 | -- | -- | 2026 |
| Arizona | $353.64 | -- | -- | 2021 |
| California | $588.82 | -- | -- | 2026 |
| Colorado | $537.66 | -- | -- | 2026 |
| Connecticut | $452.51 | -- | -- | 2026 |
| Delaware | $475.90 | -- | -- | 2026 |
| Iowa | $696.05 | -- | -- | 2024 |
| Idaho | $565.81 | -- | Not required | 2025 |
| Illinois | $283.50 | -- | -- | 2020 |
| Indiana | $659.80 | -- | -- | 2025 |
| Kansas | $428.87 | -- | -- | 2024 |
| Louisiana | $747.90 | -- | -- | 2026 |
| Michigan | $377.10 | -- | -- | 2026 |
| Minnesota | $626.78 | -- | -- | 2026 |
| Missouri | $336.38 | -- | Not required | 2026 |
| Mississippi | $775.17 | -- | -- | 2026 |
| North Carolina | $183.02 | -- | -- | 2025 |
| New Jersey | $409.52 | -- | Not required | 2026 |
| New Mexico | $485.61 | -- | -- | 2026 |
| Nevada | $704.62 | -- | -- | 2024 |
| New York | $79.28 | -- | -- | 2026 |
| Ohio | $647.40 | -- | -- | 2021 |
| Oklahoma | $806.44 | -- | -- | 2026 |
| Pennsylvania | $664.80 | -- | -- | 2020 |
| Rhode Island | $615.23 | -- | -- | 2026 |
| South Carolina | $344.82 | -- | -- | 2020 |
| Texas | $679.40* | -- | -- | 2025 |
| Utah | $398.83* | -- | Not required | 2021 |
| Virginia | $252.94 | -- | -- | 2026 |
| Washington | $745.54 | -- | -- | 2026 |
| Wisconsin | $388.48 | -- | -- | 2020 |
| West Virginia | $584.01 | -- | -- | 2026 |
| Wyoming | $428.03 | -- | -- | 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 95709?
34 state Medicaid programs publish a fee-for-service rate for 95709 (long-term EEG, no video, 12-26 hours, intermittent monitor), ranging from $79.28 in New York to $806.44 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for 95709?
Oklahoma publishes the highest Medicaid rate for 95709 at $806.44. New York publishes the lowest at $79.28.
Does 95709 require prior authorization under Medicaid?
No publishing state flags 95709 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.