The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 97039. 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
18
Median % of Medicare
--
Rate range
$6.12 - $32.93
97039 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $10.95 | -- | -- | 2020 |
| California | $14.27 | -- | -- | 2026 |
| Connecticut | $11.30 | -- | -- | 2012 |
| District of Columbia | $6.13 | -- | Not required | 2003 |
| Delaware | $11.27 | -- | -- | 2026 |
| Hawaii | $10.37 | -- | -- | 2025 |
| Iowa | $13.27 | -- | -- | 2024 |
| Idaho | $9.72* | -- | Required | 2025 |
| Indiana | $18.07 | -- | Required | 2025 |
| Kentucky | $15.68 | -- | Required | 2026 |
| Missouri | $8.64 | -- | Not required | 2022 |
| Mississippi | $9.93 | -- | -- | 2026 |
| Nebraska | $11.50 | -- | -- | 2026 |
| New Hampshire | $19.98 | -- | Not required | 2026 |
| New Mexico | $14.74 | -- | -- | 2025 |
| Virginia | $7.73* | -- | -- | 2009 |
| Washington | $6.12 | -- | -- | 2026 |
| Wisconsin | $32.93 | -- | -- | 2022 |
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 97039?
18 state Medicaid programs publish a fee-for-service rate for 97039 (unlisted therapy modality), ranging from $6.12 in Washington to $32.93 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 97039?
Wisconsin publishes the highest Medicaid rate for 97039 at $32.93. Washington publishes the lowest at $6.12.
Does 97039 require prior authorization under Medicaid?
3 of the 18 publishing states flag 97039 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".