The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99411. 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
16
Median % of Medicare
--
Rate range
$8.59 - $32.02
99411 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $32.02 | -- | -- | 2026 |
| Arizona | $17.26 | -- | -- | 2025 |
| California | $18.79 | -- | -- | 2026 |
| Colorado | $16.51 | -- | -- | 2026 |
| Connecticut | $11.11 | -- | -- | 2008 |
| District of Columbia | $18.69 | -- | Not required | 2026 |
| Kansas | $20.00 | -- | -- | 1992 |
| Kentucky | $14.79 | -- | -- | 2026 |
| Massachusetts | $15.66 | -- | -- | 2026 |
| Maine | $13.79 | -- | -- | 2026 |
| Minnesota | $16.00 | -- | -- | 2026 |
| Montana | $26.79 | -- | -- | 2026 |
| New Hampshire | $8.59 | -- | Not required | 2026 |
| Nevada | $10.48 | -- | -- | 2022 |
| Utah | $15.26* | -- | Not required | 2026 |
| West Virginia | $13.42 | -- | -- | 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 99411?
16 state Medicaid programs publish a fee-for-service rate for 99411 (preventive counseling, group, 30 minutes), ranging from $8.59 in New Hampshire to $32.02 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99411?
Alaska publishes the highest Medicaid rate for 99411 at $32.02. New Hampshire publishes the lowest at $8.59.
Does 99411 require prior authorization under Medicaid?
No publishing state flags 99411 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.