The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 98940. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
37
Median % of Medicare
81.1%
Rate range
$13.00 - $48.49
98940 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $48.49 | 181.5% | -- | 2026 |
| Arkansas | $30.53 | 114.3% | -- | 2026 |
| Arizona | $28.75 | 107.6% | -- | 2022 |
| California | $16.72 | 62.6% | -- | 2026 |
| Connecticut | $15.12 | 56.6% | Required | 2008 |
| Delaware | $26.10 | 97.7% | -- | 2026 |
| Florida | $15.17 | 56.8% | -- | 2026 |
| Iowa | $24.99 | 93.5% | -- | 2013 |
| Idaho | $22.16 | 82.9% | Not required | 2026 |
| Indiana | $20.70 | 77.5% | -- | 2026 |
| Kentucky | $20.68 | 77.4% | -- | 2026 |
| Louisiana | $22.02 | 82.4% | -- | 2026 |
| Massachusetts | $20.84 | 78% | -- | 2026 |
| Maine | $18.60 | 69.6% | -- | 2026 |
| Michigan | $17.04 | 63.8% | -- | 2026 |
| Minnesota | $20.58 | 77% | Conditional | 2026 |
| Mississippi | $17.54 | 65.6% | -- | 2026 |
| Montana | $37.24 | 139.4% | -- | 2025 |
| North Carolina | $19.96 | 74.7% | -- | 2025 |
| North Dakota | $48.29 | 180.7% | Not required | 2026 |
| Nebraska | $32.25 | 120.7% | -- | 2026 |
| New Jersey | $22.33 | 83.6% | Not required | 2026 |
| New Mexico | $26.28 | 98.4% | -- | 2024 |
| Nevada | $25.86 | 96.8% | -- | 2024 |
| Ohio | $16.76 | 62.7% | -- | 2024 |
| Oklahoma | $23.80 | 89.1% | -- | 2026 |
| Oregon | $21.68* | 81.1% | -- | 2026 |
| Pennsylvania | $13.00 | 48.7% | -- | 2006 |
| South Carolina | $18.32 | 68.6% | -- | 2026 |
| Texas | $21.92* | 82% | -- | 2024 |
| Utah | $20.41* | 76.4% | Not required | 2026 |
| Virginia | $23.15* | 86.6% | -- | 2026 |
| Vermont | $22.49 | 84.2% | -- | 2026 |
| Washington | $16.05 | 60.1% | -- | 2026 |
| Wisconsin | $19.13 | 71.6% | -- | 2022 |
| West Virginia | $18.30 | 68.5% | -- | 2026 |
| Wyoming | $23.80 | 89.1% | -- | 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
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10080 - Drainage of a pilonidal cyst, simple
- 10081 - Drainage of a pilonidal cyst, complicated
- 10120 - Removal of a foreign body from tissue, simple
- 10121 - Removal of a foreign body from skin, complicated
- 10140 - Drainage of a blood or fluid collection under the skin
Frequently asked questions
How much does Medicaid pay for 98940?
37 state Medicaid programs publish a fee-for-service rate for 98940 (chiropractic spinal adjustment, 1-2 regions), ranging from $13.00 in Pennsylvania to $48.49 in Alaska, with a median of 81.1% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 98940?
Alaska publishes the highest Medicaid rate for 98940 at $48.49 (181.5% of the national Medicare amount). Pennsylvania publishes the lowest at $13.00.
Does 98940 require prior authorization under Medicaid?
2 of the 37 publishing states flag 98940 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".