Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for P7001. 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
$10.00 - $22.59
P7001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $17.93 | -- | -- | 2026 |
| Arizona | $15.60 | -- | -- | 2026 |
| Colorado | $18.71 | -- | -- | 2026 |
| Hawaii | $21.60 | -- | -- | 2025 |
| Idaho | $12.52 | -- | Not required | 2025 |
| Illinois | $12.45 | -- | -- | 2026 |
| Indiana | $22.59 | -- | -- | 2026 |
| New Hampshire | $18.73 | -- | Not required | 2026 |
| New Mexico | $10.67 | -- | -- | 2025 |
| Pennsylvania | $10.00 | -- | -- | 2012 |
| Utah | $15.84* | -- | Not required | 2016 |
| Virginia | $15.90 | -- | -- | 1984 |
| West Virginia | $15.00 | -- | -- | 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 lab & imaging codes
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
All 1 codes from P7001 to P7001 or every lab & imaging code by number.
Frequently asked questions
How much does Medicaid pay for P7001?
13 state Medicaid programs publish a fee-for-service rate for P7001 (culture, bacterial, urine; quantitative, sensitivity study), ranging from $10.00 in Pennsylvania to $22.59 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for P7001?
Indiana publishes the highest Medicaid rate for P7001 at $22.59. Pennsylvania publishes the lowest at $10.00.
Does P7001 require prior authorization under Medicaid?
No publishing state flags P7001 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.