Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T1001. 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
25
Median % of Medicare
--
Rate range
$11.25 - $276.65
T1001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $69.30 | -- | -- | 2026 |
| District of Columbia | $151.08* | -- | Varies | 2025 |
| Delaware | $22.72 | -- | -- | 2026 |
| Iowa | $143.31 | -- | -- | 2013 |
| Kansas | $30.00 | -- | -- | 2002 |
| Louisiana | $19.88 | -- | -- | 2026 |
| Minnesota | $276.65 | -- | Conditional | 2015 |
| Missouri | $60.99 | -- | Varies | 2023 |
| Mississippi | $39.10 | -- | Not required | 2026 |
| Montana | $21.60* | -- | Required | 2025 |
| North Carolina | $87.09 | -- | -- | 2025 |
| North Dakota | $18.51 | -- | Not required | 2026 |
| New Hampshire | $32.09* | -- | Not required | 2026 |
| New Jersey | $51.00 | -- | Not required | 2026 |
| New Mexico | $43.60 | -- | -- | 2026 |
| Nevada | $24.50 | -- | -- | 2024 |
| Ohio | $11.25 | -- | -- | 2026 |
| Pennsylvania | $175.00* | -- | -- | 2005 |
| South Carolina | $140.80 | -- | -- | 2017 |
| Utah | $178.37* | -- | Not required | 2026 |
| Virginia | $39.18 | -- | -- | 2025 |
| Vermont | $67.37 | -- | -- | 2008 |
| Washington | $27.52 | -- | -- | 2026 |
| Wisconsin | $85.54 | -- | -- | 2008 |
| Wyoming | $77.52 | -- | -- | 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 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 19 codes from T1000 to T1999 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for T1001?
25 state Medicaid programs publish a fee-for-service rate for T1001 (nursing assessment / evaluation), ranging from $11.25 in Ohio to $276.65 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for T1001?
Minnesota publishes the highest Medicaid rate for T1001 at $276.65. Ohio publishes the lowest at $11.25.
Does T1001 require prior authorization under Medicaid?
2 of the 25 publishing states flag T1001 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".