The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99360. 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
26
Median % of Medicare
--
Rate range
$25.50 - $108.54
99360 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $108.54 | -- | -- | 2026 |
| Alabama | $81.00 | -- | -- | 2026 |
| Arkansas | $48.00 | -- | -- | 2026 |
| Arizona | $50.88 | -- | -- | 2025 |
| California | $25.50 | -- | -- | 2026 |
| Colorado | $55.99 | -- | -- | 2026 |
| Delaware | $50.26 | -- | -- | 2026 |
| Iowa | $35.33 | -- | -- | 2024 |
| Idaho | $37.32 | -- | Not required | 2025 |
| Kansas | $35.00 | -- | -- | 1994 |
| Louisiana | $49.56 | -- | -- | 2026 |
| Massachusetts | $43.10 | -- | -- | 2026 |
| Maine | $49.83 | -- | -- | 2026 |
| Minnesota | $39.09 | -- | -- | 2026 |
| Missouri | $80.64 | -- | Not required | 2022 |
| North Carolina | $48.44 | -- | -- | 2025 |
| North Dakota | $56.32 | -- | Not required | 2026 |
| Nebraska | $82.26 | -- | -- | 2026 |
| New Hampshire | $36.78 | -- | Not required | 2026 |
| Nevada | $63.42 | -- | -- | 2024 |
| Oklahoma | $46.83 | -- | -- | 2026 |
| South Carolina | $43.07 | -- | -- | 2024 |
| Virginia | $37.10* | -- | -- | 2026 |
| Wisconsin | $99.89 | -- | -- | 2009 |
| West Virginia | $36.84 | -- | -- | 2026 |
| Wyoming | $59.30 | -- | -- | 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
- 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 99360?
26 state Medicaid programs publish a fee-for-service rate for 99360 (physician standby service, each 30 minutes), ranging from $25.50 in California to $108.54 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99360?
Alaska publishes the highest Medicaid rate for 99360 at $108.54. California publishes the lowest at $25.50.
Does 99360 require prior authorization under Medicaid?
No publishing state flags 99360 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.