The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 96101. 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
4
Median % of Medicare
--
Rate range
$69.95 - $237.17
96101 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $70.44 | -- | -- | 2026 |
| Maine | $80.78 | -- | -- | 2019 |
| North Carolina | $69.95 | -- | -- | 2012 |
| Rhode Island | $237.17 | -- | -- | 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
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10080 - Drainage of a pilonidal cyst, simple
- 10081 - Drainage of a pilonidal cyst, complicated
- 10120 - Removal of a foreign body from tissue, simple
- 10121 - Removal of a foreign body from skin, complicated
- 10140 - Drainage of a blood or fluid collection under the skin
Frequently asked questions
How much does Medicaid pay for 96101?
4 state Medicaid programs publish a fee-for-service rate for 96101 (psychological testing by psychologist, per hour), ranging from $69.95 in North Carolina to $237.17 in Rhode Island. The full table on this page lists every publishing state's current rate.
Which state pays the most for 96101?
Rhode Island publishes the highest Medicaid rate for 96101 at $237.17. North Carolina publishes the lowest at $69.95.
Does 96101 require prior authorization under Medicaid?
No publishing state flags 96101 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.