Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q9957. 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
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Publishing states
24
Median % of Medicare
--
Rate range
$34.74 - $168.75
Q9957 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $74.21 | -- | -- | 2026 |
| Arizona | $40.85 | -- | -- | 2026 |
| California | $50.24 | -- | -- | 2026 |
| Connecticut | $42.16 | -- | -- | 2024 |
| Iowa | $153.56 | -- | -- | 2024 |
| Idaho | $34.74 | -- | Not required | 2026 |
| Indiana | $168.75 | -- | -- | 2024 |
| Maine | $40.85 | -- | -- | 2026 |
| Michigan | $40.85 | -- | -- | 2026 |
| Minnesota | $40.85 | -- | -- | 2026 |
| Mississippi | $39.96 | -- | -- | 2026 |
| Montana | $40.21 | -- | -- | 2026 |
| North Dakota | $40.85 | -- | Not required | 2026 |
| Nebraska | $40.85 | -- | -- | 2026 |
| New Hampshire | $46.80 | -- | Not required | 2026 |
| New Jersey | $46.33 | -- | Not required | 2026 |
| New Mexico | $41.61 | -- | -- | 2025 |
| South Carolina | $42.40 | -- | -- | 2026 |
| Utah | $40.85* | -- | Not required | 2026 |
| Virginia | $40.85 | -- | -- | 2026 |
| Vermont | $38.62 | -- | -- | 2026 |
| Washington | $40.85 | -- | -- | 2026 |
| Wisconsin | $40.85 | -- | -- | 2026 |
| Wyoming | $45.75 | -- | -- | 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 state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 22 codes from Q9950 to Q9999 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for Q9957?
24 state Medicaid programs publish a fee-for-service rate for Q9957 (injection, perflutren lipid microspheres, per ml), ranging from $34.74 in Idaho to $168.75 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q9957?
Indiana publishes the highest Medicaid rate for Q9957 at $168.75. Idaho publishes the lowest at $34.74.
Does Q9957 require prior authorization under Medicaid?
No publishing state flags Q9957 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.