The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 97139. 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
20
Median % of Medicare
--
Rate range
$6.98 - $171.71
97139 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $14.81 | -- | -- | 2020 |
| California | $7.65 | -- | -- | 2026 |
| Connecticut | $9.68 | -- | -- | 2012 |
| District of Columbia | $8.38 | -- | Not required | 2003 |
| Delaware | $15.30 | -- | -- | 2026 |
| Hawaii | $12.02 | -- | -- | 2025 |
| Iowa | $12.16 | -- | -- | 2024 |
| Idaho | $14.71* | -- | Required | 2025 |
| Indiana | $21.38 | -- | Required | 2025 |
| Louisiana | $14.36 | -- | -- | 2026 |
| Missouri | $11.62 | -- | Not required | 2022 |
| Mississippi | $13.12 | -- | -- | 2026 |
| Montana | $8.14 | -- | -- | 2026 |
| New Hampshire | $21.90 | -- | Not required | 2026 |
| New Mexico | $17.81 | -- | -- | 2025 |
| South Carolina | $6.98 | -- | -- | 2017 |
| Virginia | $171.71 | -- | -- | 2026 |
| Washington | $8.41 | -- | -- | 2026 |
| Wisconsin | $19.43 | -- | -- | 2008 |
| Wyoming | $25.17 | -- | -- | 2023 |
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 97139?
20 state Medicaid programs publish a fee-for-service rate for 97139 (unlisted therapeutic procedure), ranging from $6.98 in South Carolina to $171.71 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 97139?
Virginia publishes the highest Medicaid rate for 97139 at $171.71. South Carolina publishes the lowest at $6.98.
Does 97139 require prior authorization under Medicaid?
2 of the 20 publishing states flag 97139 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".