The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 98013. 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
19
Median % of Medicare
--
Rate range
$44.06 - $86.23
98013 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $47.42 | -- | -- | 2025 |
| Colorado | $76.71 | -- | -- | 2026 |
| Connecticut | $78.94 | -- | -- | 2026 |
| Delaware | $64.17 | -- | -- | 2026 |
| Idaho | $56.17 | -- | Not required | 2025 |
| Indiana | $59.57 | -- | -- | 2025 |
| Kentucky | $52.49 | -- | -- | 2026 |
| Minnesota | $50.90 | -- | -- | 2026 |
| Montana | $86.23 | -- | -- | 2026 |
| North Carolina | $50.41 | -- | -- | 2025 |
| North Dakota | $72.47 | -- | Not required | 2026 |
| Nebraska | $71.44 | -- | -- | 2026 |
| Ohio | $47.22 | -- | -- | 2025 |
| South Carolina | $69.94 | -- | -- | 2025 |
| Utah | $44.06* | -- | Not required | 2025 |
| Virginia | $47.46* | -- | -- | 2026 |
| Vermont | $79.37 | -- | -- | 2026 |
| Wisconsin | $46.95 | -- | -- | 2025 |
| West Virginia | $46.12 | -- | -- | 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 98013?
19 state Medicaid programs publish a fee-for-service rate for 98013 (audio-only visit, established patient, low complexity), ranging from $44.06 in Utah to $86.23 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 98013?
Montana publishes the highest Medicaid rate for 98013 at $86.23. Utah publishes the lowest at $44.06.
Does 98013 require prior authorization under Medicaid?
No publishing state flags 98013 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.