Every state, kept current
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
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
37
Median % of Medicare
82%
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 | $28.24 | 105.7% | -- | 2025 |
| California | $16.72 | 62.6% | -- | 2026 |
| Connecticut | $15.12 | 56.6% | Required | 2008 |
| Delaware | $26.10 | 97.7% | -- | 2026 |
| Florida | $20.78 | 77.8% | -- | 2026 |
| Iowa | $24.99 | 93.5% | -- | 2013 |
| Idaho | $22.16 | 82.9% | Not required | 2026 |
| Indiana | $25.79 | 96.5% | -- | 2025 |
| 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
- 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 40 codes from 98000 to 98981 or every physician code by number.
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 82% 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".