Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 97803. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
33
Median % of Medicare
79.5%
Rate range
$3.56 - $44.53
97803 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $3.56 | 11.2% | -- | 2026 |
| Arizona | $33.12 | 104.4% | -- | 2025 |
| California | $29.47 | 92.9% | -- | 2026 |
| Colorado | $28.53 | 89.9% | -- | 2026 |
| Connecticut | $22.34 | 70.4% | -- | 2025 |
| District of Columbia | $28.39 | 89.5% | Not required | 2026 |
| Iowa | $13.18 | 41.5% | -- | 2024 |
| Indiana | $29.69 | 93.6% | -- | 2025 |
| Kansas | $21.80 | 68.7% | -- | 2024 |
| Kentucky | $11.87 | 37.4% | -- | 2026 |
| Louisiana | $25.23 | 79.5% | -- | 2026 |
| Massachusetts | $24.34 | 76.7% | -- | 2026 |
| Maine | $21.94 | 69.1% | -- | 2026 |
| Minnesota | $24.44 | 77% | -- | 2026 |
| Missouri | $26.61 | 83.9% | Not required | 2022 |
| Montana | $43.59 | 137.4% | -- | 2026 |
| North Carolina | $20.80 | 65.6% | -- | 2025 |
| North Dakota | $35.30 | 111.3% | Not required | 2026 |
| Nebraska | $28.88 | 91% | -- | 2026 |
| New Jersey | $22.53 | 71% | Not required | 2026 |
| New Mexico | $44.53 | 140.3% | -- | 2025 |
| Nevada | $19.63 | 61.9% | -- | 2023 |
| Ohio | $19.95 | 62.9% | -- | 2024 |
| Oklahoma | $27.98 | 88.2% | -- | 2026 |
| Oregon | $25.77* | 81.2% | -- | 2026 |
| South Carolina | $21.05 | 66.3% | -- | 2024 |
| Texas | $25.39* | 80% | -- | 2025 |
| Utah | $24.11* | 76% | Not required | 2026 |
| Virginia | $27.49* | 86.6% | -- | 2026 |
| Vermont | $26.73 | 84.2% | -- | 2026 |
| Washington | $19.30 | 60.8% | -- | 2026 |
| West Virginia | $21.47 | 67.7% | -- | 2026 |
| Wyoming | $27.87 | 87.8% | -- | 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
All 68 codes from 97010 to 97814 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 97803?
33 state Medicaid programs publish a fee-for-service rate for 97803 (medical nutrition therapy, follow-up, each 15 minutes), ranging from $3.56 in Arkansas to $44.53 in New Mexico, with a median of 79.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 97803?
New Mexico publishes the highest Medicaid rate for 97803 at $44.53 (140.3% of the national Medicare amount). Arkansas publishes the lowest at $3.56.
Does 97803 require prior authorization under Medicaid?
No publishing state flags 97803 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.