The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99100. 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
10
Median % of Medicare
--
Rate range
$11.29 - $110.09
99100 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $36.08 | -- | -- | 2026 |
| Connecticut | $110.09 | -- | -- | 2008 |
| Kentucky | $25.00 | -- | -- | 2026 |
| Minnesota | $18.54 | -- | -- | 2000 |
| Missouri | $11.29 | -- | Not required | 2022 |
| North Carolina | $17.36 | -- | -- | 2025 |
| New Hampshire | $14.73 | -- | Not required | 2026 |
| Oklahoma | $13.44 | -- | -- | 2026 |
| Texas | $80.46* | -- | -- | 2022 |
| Virginia | $18.08* | -- | -- | 2016 |
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 99100?
10 state Medicaid programs publish a fee-for-service rate for 99100 (anesthesia for extreme age, under 1 or over 70 (add-on)), ranging from $11.29 in Missouri to $110.09 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99100?
Connecticut publishes the highest Medicaid rate for 99100 at $110.09. Missouri publishes the lowest at $11.29.
Does 99100 require prior authorization under Medicaid?
No publishing state flags 99100 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.