Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T2038. 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
16
Median % of Medicare
--
Rate range
$1.00 - $5,000.00
T2038 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $2,500.00 | -- | -- | 2026 |
| District of Columbia | $5,000.00* | -- | Required | 2026 |
| Delaware | $1.00 | -- | -- | 2026 |
| Indiana | $2,500.00* | -- | Required | 2023 |
| Minnesota | $1,500.00 | -- | Required | 2013 |
| Missouri | $4,500.00* | -- | Required | 2025 |
| Mississippi | $800.00* | -- | -- | 2013 |
| Montana | $2,303.28* | -- | Required | 2025 |
| New Hampshire | $237.17 | -- | Required | 2026 |
| New Jersey | $5,000.00 | -- | Required | 2026 |
| New Mexico | $1.00* | -- | -- | 2026 |
| Tennessee | $233.07* | -- | -- | 2025 |
| Utah | $2,000.00* | -- | Required | 2022 |
| Virginia | $5,000.00 | -- | -- | 2008 |
| Vermont | $96.45 | -- | -- | 2026 |
| Wyoming | $7.49 | -- | -- | 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 16 codes from T2001 to T2101 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for T2038?
16 state Medicaid programs publish a fee-for-service rate for T2038 (community transition, waiver; per service), ranging from $1.00 in New Mexico to $5,000.00 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for T2038?
District of Columbia publishes the highest Medicaid rate for T2038 at $5,000.00. New Mexico publishes the lowest at $1.00.
Does T2038 require prior authorization under Medicaid?
8 of the 16 publishing states flag T2038 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".