The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99001. 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
14
Median % of Medicare
--
Rate range
$1.10 - $17.67
99001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3.50 | -- | -- | 2026 |
| Arizona | $17.67 | -- | -- | 2020 |
| Colorado | $3.25 | -- | -- | 2026 |
| District of Columbia | $1.10 | -- | Not required | 2016 |
| Delaware | $3.10 | -- | -- | 2026 |
| Iowa | $4.58 | -- | -- | 2024 |
| Idaho | $7.77 | -- | Not required | 2025 |
| Indiana | $3.90 | -- | -- | 2024 |
| Maine | $2.48 | -- | -- | 2026 |
| New Hampshire | $5.48 | -- | Not required | 2026 |
| Texas | $13.07* | -- | -- | 2022 |
| Utah | $5.03* | -- | Not required | 2022 |
| Virginia | $3.68* | -- | -- | 2016 |
| Wisconsin | $3.97 | -- | -- | 2022 |
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 99001?
14 state Medicaid programs publish a fee-for-service rate for 99001 (specimen handling, patient location to lab), ranging from $1.10 in District of Columbia to $17.67 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99001?
Arizona publishes the highest Medicaid rate for 99001 at $17.67. District of Columbia publishes the lowest at $1.10.
Does 99001 require prior authorization under Medicaid?
No publishing state flags 99001 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.