The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99174. 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
25
Median % of Medicare
--
Rate range
$4.01 - $21.93
99174 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $10.55 | -- | -- | 2026 |
| Arizona | $6.28 | -- | -- | 2025 |
| Colorado | $6.32 | -- | -- | 2026 |
| Connecticut | $20.00 | -- | -- | 2015 |
| District of Columbia | $6.28 | -- | Not required | 2026 |
| Delaware | $6.44 | -- | -- | 2026 |
| Iowa | $13.53 | -- | -- | 2013 |
| Idaho | $5.72 | -- | Not required | 2025 |
| Illinois | $7.25 | -- | -- | 2014 |
| Indiana | $5.59 | -- | -- | 2025 |
| Kentucky | $21.93 | -- | -- | 2026 |
| Massachusetts | $4.75 | -- | -- | 2026 |
| Maine | $4.38 | -- | -- | 2026 |
| Michigan | $4.26 | -- | -- | 2026 |
| Minnesota | $4.88 | -- | -- | 2026 |
| New Jersey | $9.00 | -- | Not required | 2026 |
| Nevada | $7.10 | -- | -- | 2024 |
| Ohio | $5.88 | -- | -- | 2024 |
| Pennsylvania | $8.00 | -- | -- | 2023 |
| South Carolina | $4.01 | -- | -- | 2024 |
| Virginia | $5.79* | -- | -- | 2026 |
| Vermont | $5.52 | -- | -- | 2026 |
| Washington | $4.20 | -- | -- | 2026 |
| Wisconsin | $4.67 | -- | -- | 2024 |
| West Virginia | $4.39 | -- | -- | 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
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 99174?
25 state Medicaid programs publish a fee-for-service rate for 99174 (instrument-based vision screening), ranging from $4.01 in South Carolina to $21.93 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99174?
Kentucky publishes the highest Medicaid rate for 99174 at $21.93. South Carolina publishes the lowest at $4.01.
Does 99174 require prior authorization under Medicaid?
No publishing state flags 99174 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.