The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99409. 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
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Publishing states
30
Median % of Medicare
--
Rate range
$40.13 - $121.72
99409 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $121.72 | -- | -- | 2026 |
| Arizona | $57.72 | -- | -- | 2025 |
| California | $59.61 | -- | -- | 2026 |
| Colorado | $59.45 | -- | -- | 2026 |
| District of Columbia | $59.15 | -- | Not required | 2026 |
| Delaware | $65.85 | -- | -- | 2026 |
| Georgia | $65.51 | -- | -- | 2026 |
| Iowa | $57.26 | -- | -- | 2024 |
| Indiana | $61.65 | -- | -- | 2025 |
| Kansas | $48.00 | -- | -- | 2013 |
| Kentucky | $53.20 | -- | -- | 2026 |
| Massachusetts | $49.23 | -- | -- | 2026 |
| Maine | $46.95 | -- | -- | 2026 |
| Michigan | $43.03 | -- | -- | 2026 |
| Minnesota | $51.95 | -- | -- | 2026 |
| Missouri | $68.30 | -- | Not required | 2022 |
| Montana | $88.91 | -- | -- | 2026 |
| North Carolina | $58.60 | -- | -- | 2025 |
| North Dakota | $74.35 | -- | Not required | 2026 |
| New Hampshire | $78.43 | -- | Not required | 2026 |
| New Jersey | $47.74 | -- | Not required | 2026 |
| New Mexico | $94.77 | -- | -- | 2025 |
| Nevada | $69.86 | -- | -- | 2024 |
| South Carolina | $44.27 | -- | -- | 2024 |
| Utah | $51.75* | -- | Not required | 2026 |
| Virginia | $68.97* | -- | -- | 2026 |
| Vermont | $56.15 | -- | -- | 2026 |
| Washington | $40.13 | -- | -- | 2026 |
| West Virginia | $47.09 | -- | -- | 2026 |
| Wyoming | $59.49* | -- | -- | 2023 |
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 99409?
30 state Medicaid programs publish a fee-for-service rate for 99409 (alcohol or drug screening and intervention, over 30 min), ranging from $40.13 in Washington to $121.72 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99409?
Alaska publishes the highest Medicaid rate for 99409 at $121.72. Washington publishes the lowest at $40.13.
Does 99409 require prior authorization under Medicaid?
No publishing state flags 99409 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.