The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 98001. 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
$61.00 - $131.55
98001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $82.99 | -- | -- | 2025 |
| Colorado | $104.52 | -- | -- | 2026 |
| Connecticut | $131.55 | -- | -- | 2026 |
| Delaware | $85.03 | -- | -- | 2026 |
| Idaho | $74.80 | -- | Not required | 2025 |
| Indiana | $79.34 | -- | -- | 2025 |
| Kentucky | $70.19 | -- | -- | 2026 |
| Minnesota | $90.52 | -- | -- | 2026 |
| Montana | $115.25 | -- | -- | 2026 |
| North Carolina | $67.24 | -- | -- | 2025 |
| North Dakota | $96.13 | -- | Not required | 2026 |
| Nebraska | $76.77 | -- | -- | 2026 |
| Ohio | $63.18 | -- | -- | 2025 |
| Virginia | $62.88* | -- | -- | 2026 |
| Vermont | $97.36 | -- | -- | 2026 |
| Wisconsin | $62.44 | -- | -- | 2025 |
| West Virginia | $61.00 | -- | -- | 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 98001?
17 state Medicaid programs publish a fee-for-service rate for 98001 (video visit, new patient, low complexity), ranging from $61.00 in West Virginia to $131.55 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for 98001?
Connecticut publishes the highest Medicaid rate for 98001 at $131.55. West Virginia publishes the lowest at $61.00.
Does 98001 require prior authorization under Medicaid?
No publishing state flags 98001 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.