The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99172. 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
13
Median % of Medicare
--
Rate range
$9.89 - $73.16
99172 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $22.10 | -- | -- | 2026 |
| Colorado | $52.50 | -- | -- | 2026 |
| Connecticut | $15.41 | -- | -- | 2008 |
| Iowa | $14.16 | -- | -- | 2018 |
| Indiana | $12.67 | -- | -- | 2025 |
| Kentucky | $15.64 | -- | -- | 2026 |
| Louisiana | $73.16 | -- | -- | 2026 |
| Michigan | $9.89 | -- | -- | 2026 |
| Minnesota | $13.89 | -- | -- | 2026 |
| Montana | $17.83 | -- | -- | 2026 |
| Nebraska | $36.56 | -- | -- | 2026 |
| New Mexico | $48.94 | -- | -- | 2025 |
| Ohio | $9.94 | -- | -- | 2018 |
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 99172?
13 state Medicaid programs publish a fee-for-service rate for 99172 (visual function screening, automated), ranging from $9.89 in Michigan to $73.16 in Louisiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99172?
Louisiana publishes the highest Medicaid rate for 99172 at $73.16. Michigan publishes the lowest at $9.89.
Does 99172 require prior authorization under Medicaid?
No publishing state flags 99172 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.