Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for H1001. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
13
Median % of Medicare
--
Rate range
$4.03 - $2,635.93
H1001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| District of Columbia | $18.20 | -- | Not required | 2016 |
| Florida | $114.40 | -- | -- | 2026 |
| Iowa | $4.03 | -- | -- | 2024 |
| Illinois | $2,635.93 | -- | -- | 2024 |
| Michigan | $92.09 | -- | -- | 2026 |
| Minnesota | $203.00 | -- | -- | 2026 |
| Missouri | $53.49 | -- | Not required | 2019 |
| North Dakota | $64.86 | -- | Not required | 2026 |
| New Jersey | $12.50 | -- | Not required | 2026 |
| Ohio | $12.95 | -- | -- | 2026 |
| Oklahoma | $18.72 | -- | -- | 2026 |
| South Carolina | $140.80 | -- | -- | 2017 |
| Utah | $6.77* | -- | Not required | 2022 |
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 behavioral health codes
- 90785 - Psychotherapy interactive complexity (add-on)
- 90791 - Psychiatric diagnostic evaluation, no medical services
- 90792 - Psychiatric diagnostic evaluation with medical services
- 90832 - Psychotherapy, 30 minutes
- 90833 - Psychotherapy, 30 minutes, added to an E&M visit
- 90834 - Psychotherapy, 45 minutes
- 90836 - Psychotherapy, 45 minutes, added to an E&M visit
- 90837 - Psychotherapy, 60 minutes
All 2 codes from H1000 to H1001 or every behavioral health code by number.
Frequently asked questions
How much does Medicaid pay for H1001?
13 state Medicaid programs publish a fee-for-service rate for H1001 (prenatal care, at-risk enhanced service; antepartum management), ranging from $4.03 in Iowa to $2,635.93 in Illinois. The full table on this page lists every publishing state's current rate.
Which state pays the most for H1001?
Illinois publishes the highest Medicaid rate for H1001 at $2,635.93. Iowa publishes the lowest at $4.03.
Does H1001 require prior authorization under Medicaid?
No publishing state flags H1001 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.