The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 98000. 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
17
Median % of Medicare
--
Rate range
$37.33 - $89.12
98000 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $53.72 | -- | -- | 2025 |
| Colorado | $50.18 | -- | -- | 2026 |
| Connecticut | $89.12 | -- | -- | 2026 |
| Delaware | $52.09 | -- | -- | 2026 |
| Idaho | $45.39 | -- | Not required | 2025 |
| Indiana | $48.15 | -- | -- | 2025 |
| Kentucky | $42.44 | -- | -- | 2026 |
| Minnesota | $41.19 | -- | -- | 2026 |
| Montana | $69.89 | -- | -- | 2026 |
| North Carolina | $40.78 | -- | -- | 2025 |
| North Dakota | $58.58 | -- | Not required | 2026 |
| Nebraska | $52.09 | -- | -- | 2026 |
| Ohio | $38.19 | -- | -- | 2025 |
| Virginia | $38.55* | -- | -- | 2026 |
| Vermont | $62.68 | -- | -- | 2026 |
| Wisconsin | $38.00 | -- | -- | 2025 |
| West Virginia | $37.33 | -- | -- | 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 98000?
17 state Medicaid programs publish a fee-for-service rate for 98000 (video visit, new patient, straightforward), ranging from $37.33 in West Virginia to $89.12 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for 98000?
Connecticut publishes the highest Medicaid rate for 98000 at $89.12. West Virginia publishes the lowest at $37.33.
Does 98000 require prior authorization under Medicaid?
No publishing state flags 98000 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.