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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Utah schedules export as CSV with the Rates plan.
- 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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Utah's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,362 | Aug 2026 | 75.7% | $67.03 Office visit, established patient, low complexity (20-29 min) (99213) | 302 |
| Lab & Imaging | 1,885 | Jul 2026 | 99.7% | $30.82 Chest X-ray, 2 views (71046) | 109 |
| DME & Supplies | 1,646 | Aug 2026 | 71.3% | $33.42 Continuous positive airway pressure (cpap) device (E0601) | 415 |
| Drugs | 739 | Jul 2026 | -- | -- | 204 |
| Vision | 122 | Jul 2026 | 74.3% | $113.23 Eye exam, new patient, comprehensive (92004) | 10 |
| Behavioral Health | 53 | Jul 2026 | 77.3% | $159.23 Psychotherapy, 60 minutes (90837) | 10 |
| Hearing | 40 | Jul 2023 | -- | $1,200.00 Hearing aid, digital, binaural, bte (V5261) | 36 |
| Transport | 11 | Jul 2025 | -- | -- | 1 |
| State-Specific Services | 626 | Jul 2026 | 52.1% | -- | 75 |
| Dental | Utah's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
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.
Where Utah publishes its fee schedules
- Publisher
- Utah Department of Health and Human Services (DHHS)
- Program
- Utah Medicaid
- Official source
- https://health.utah.gov/stplan/lookup/
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Utah schedules, every category and every code, export as CSV on the Rates plan.
Compare Utah nationally
Frequently asked questions
Does Utah publish a Medicaid fee schedule?
Yes. Utah publishes 11,484 Medicaid fee-for-service procedure rates across 9 service categories, effective through Aug 2026, all collected and normalized here with plain-language procedure names. Utah Department of Health and Human Services (DHHS) publishes Utah's Medicaid fee schedules.
Who publishes Utah's Medicaid fee schedule?
Utah Department of Health and Human Services (DHHS) publishes Utah's Medicaid fee schedules. The state's own fee-schedule page is https://health.utah.gov/stplan/lookup/. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Utah Medicaid pay for common services?
An established-patient office visit (99213) pays $67.03, a two-view chest X-ray (71046) $30.82 and a CPAP device (E0601) $33.42. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Utah's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Utah's published rates run a median 75.8% of the Medicare amount, ranking 38 of 49 jurisdictions with a comparable basis.
What service categories does Utah publish?
Physician (6,362 codes), Lab & Imaging (1,885 codes), DME & Supplies (1,646 codes), Drugs (739 codes), Vision (122 codes), Behavioral Health (53 codes), Hearing (40 codes), Transport (11 codes), State-Specific Services (626 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Utah's currently published fee schedules, the newest effective Aug 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.