The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99244. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
33
Median % of Medicare
--
Rate range
$69.47 - $288.87
99244 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $288.87 | -- | -- | 2026 |
| Alabama | $121.00 | -- | -- | 2026 |
| Arkansas | $129.68 | -- | -- | 2026 |
| Arizona | $161.42 | -- | -- | 2022 |
| California | $147.06 | -- | -- | 2026 |
| Connecticut | $128.93 | -- | Required | 2012 |
| District of Columbia | $142.51 | -- | Not required | 2026 |
| Florida | $103.91 | -- | -- | 2026 |
| Georgia | $139.12 | -- | -- | 2026 |
| Illinois | $69.47 | -- | -- | 2009 |
| Kentucky | $128.22 | -- | -- | 2026 |
| Massachusetts | $121.76 | -- | -- | 2026 |
| Michigan | $85.20 | -- | -- | 2026 |
| Minnesota | $124.64 | -- | -- | 2026 |
| Mississippi | $150.41 | -- | -- | 2026 |
| North Carolina | $148.40 | -- | -- | 2025 |
| Nebraska | $153.55 | -- | -- | 2026 |
| New Jersey | $148.39 | -- | Not required | 2026 |
| New Mexico | $228.74 | -- | -- | 2025 |
| Nevada | $190.22 | -- | -- | 2024 |
| New York | $75.62 | -- | -- | 2026 |
| Ohio | $90.50 | -- | -- | 2024 |
| Pennsylvania | $105.94 | -- | -- | 2025 |
| Rhode Island | $166.89 | -- | -- | 2026 |
| South Carolina | $117.76 | -- | -- | 2024 |
| Texas | $114.80* | -- | -- | 2016 |
| Utah | $122.84* | -- | Not required | 2026 |
| Virginia | $116.12* | -- | -- | 2026 |
| Vermont | $282.68 | -- | -- | 2026 |
| Washington | $96.51 | -- | -- | 2026 |
| Wisconsin | $109.24 | -- | -- | 2024 |
| West Virginia | $111.75 | -- | -- | 2026 |
| Wyoming | $184.73 | -- | -- | 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 99244?
33 state Medicaid programs publish a fee-for-service rate for 99244 (office consultation, moderate complexity), ranging from $69.47 in Illinois to $288.87 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99244?
Alaska publishes the highest Medicaid rate for 99244 at $288.87. Illinois publishes the lowest at $69.47.
Does 99244 require prior authorization under Medicaid?
1 of the 33 publishing states flag 99244 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".