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$29/mo7-day free trialThe table on this page is a common-procedure sample. The full North Dakota physician schedule has 6,704 codes.
- Every code on all 51 published schedules
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Published codes
6,704
Physician procedures on the 2026 schedule
Median % of Medicare
106.9%
vs national Medicare, GPCI-neutral
PA required
216
codes flagged by the state
Common physician procedures and what North Dakota Medicaid pays
A curated sample of recognizable procedures from the 6,704-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | North Dakota rate | % of Medicare |
|---|---|---|---|
| 10021 | Fine needle aspiration biopsy, first lesion, no imaging | $110.39 | 109.4% |
| 10060 | Drainage of a skin abscess, simple | $141.56 | 110.1% |
| 10061 | Drainage of a skin abscess, complicated or multiple | $239.94 | 109% |
| 10080 | Drainage of a pilonidal cyst, simple | $298.52 | 110.8% |
| 10081 | Drainage of a pilonidal cyst, complicated | $416.42 | 109.6% |
| 10120 | Removal of a foreign body from tissue, simple | $173.85 | 110.5% |
| 10121 | Removal of a foreign body from skin, complicated | $300.77 | 109.3% |
| 10140 | Drainage of a blood or fluid collection under the skin | $191.50 | 109.8% |
| 10160 | Needle drainage of an abscess or cyst | $144.19 | 109.6% |
| 10180 | Drainage of an infected surgical wound | $312.78 | 108.5% |
| 11000 | Removal of infected or dead skin, up to 10% of body | $65.34 | 110.5% |
| 11042 | Wound debridement, skin and tissue below, first 20 sq cm | $146.07 | 110.2% |
| 11043 | Wound debridement to muscle, first 20 sq cm | $259.84 | 108.5% |
| 11044 | Wound debridement to bone, first 20 sq cm | $346.20 | 108% |
| 11045 | Wound debridement, skin, each added 20 sq cm | $45.43 | 108.8% |
| 11055 | Trimming of one callus or corn | $78.10 | 111.3% |
| 11056 | Trimming of 2-4 calluses or corns | $90.49 | 111.5% |
| 11057 | Trimming of 5 or more calluses or corns | $98.75 | 111.2% |
| 11102 | Skin biopsy, tangential, first lesion | $105.89 | 110.9% |
| 11104 | Skin biopsy, punch, first lesion | $134.43 | 110.9% |
| 11106 | Skin biopsy, incisional, first lesion | $167.47 | 110.7% |
| 11200 | Removal of skin tags, up to 15 | $101.76 | 110.4% |
| 11201 | Removal of skin tags, each added 10 | $19.90 | 108.3% |
| 11300 | Shave removal of a skin lesion, trunk/arm/leg, 0.5 cm or less | $107.02 | 110.9% |
| 11305 | Shave removal of a skin lesion, scalp/neck/genitals, 0.5 cm or less | $112.27 | 110.9% |
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 * show the schedule's representative published variant.
More North Dakota Medicaid fee schedules
- North Dakota fee schedule overview
- North Dakota lab & imaging fee schedule · 2,143 codes
- North Dakota dme & supplies fee schedule · 1,542 codes
- North Dakota other services fee schedule · 221 codes
- North Dakota vision fee schedule · 63 codes
- North Dakota behavioral health fee schedule · 48 codes
- North Dakota hearing fee schedule · 38 codes
Physician rates in neighboring states
Frequently asked questions
What does North Dakota Medicaid pay for physician and professional services?
North Dakota Medicaid publishes 6,704 physician procedure rates effective 2026, paying a median 106.9% of the national Medicare amount for the same services. The schedule covers office visits, preventive care, surgery, and evaluation and management services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do North Dakota's physician rates compare with Medicare?
Across physician codes with a national Medicare comparator, North Dakota Medicaid pays a median 106.9% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do physician services need prior authorization in North Dakota?
North Dakota publishes prior-authorization flags on its schedule: 216 physician codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from North Dakota's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.