The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 96171. 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
24
Median % of Medicare
--
Rate range
$3.46 - $29.47
96171 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $29.47 | -- | -- | 2025 |
| California | $25.55 | -- | -- | 2026 |
| Connecticut | $14.33 | -- | -- | 2026 |
| District of Columbia | $23.66 | -- | Not required | 2026 |
| Delaware | $26.41 | -- | -- | 2026 |
| Hawaii | $26.57 | -- | -- | 2025 |
| Iowa | $24.53 | -- | -- | 2025 |
| Indiana | $26.01 | -- | -- | 2025 |
| Kentucky | $23.49 | -- | -- | 2026 |
| Louisiana | $18.58 | -- | -- | 2026 |
| Massachusetts | $20.99 | -- | -- | 2026 |
| Maine | $18.85 | -- | -- | 2026 |
| Minnesota | $20.32 | -- | -- | 2026 |
| New Jersey | $3.46 | -- | Not required | 2026 |
| Nevada | $27.13 | -- | -- | 2024 |
| Ohio | $18.06 | -- | -- | 2026 |
| Oklahoma | $24.34 | -- | -- | 2026 |
| Texas | $23.58* | -- | -- | 2020 |
| Utah | $20.78* | -- | Not required | 2026 |
| Virginia | $23.44 | -- | -- | 2026 |
| Vermont | $22.49 | -- | -- | 2026 |
| Washington | $19.75 | -- | -- | 2026 |
| Wisconsin | $27.47 | -- | -- | 2022 |
| West Virginia | $19.03 | -- | -- | 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 96171?
24 state Medicaid programs publish a fee-for-service rate for 96171 (health behavior intervention, family only, added 15 min), ranging from $3.46 in New Jersey to $29.47 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 96171?
Arizona publishes the highest Medicaid rate for 96171 at $29.47. New Jersey publishes the lowest at $3.46.
Does 96171 require prior authorization under Medicaid?
No publishing state flags 96171 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.