PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Rates through October 2026State-published files · No login required

81402 Medicaid Fee Schedule Rates by State

Compare 81402 across covered Medicaid fee-for-service physician schedules. Comparable rankings use unmodified non-facility rates; provider, program, and modifier-specific fees appear as labeled ranges or separate choices.

These are agency-published fee-for-service amounts, not managed-care contracted rates or a guarantee of payment. The free view shows all covered jurisdictions for 20 common codes, including 99213, 99214, 99203 and up to 8 jurisdictions for other published codes.

Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 81402

81402 8 jurisdictions shown, more may be in the platform

Mopath Procedure Level 3, Molecular Pathology Procedure Level 3 Eg 10 Snps 2 10 Methylated Variants Or 2 10 Somatic Variants Typically Using Non Sequencing Target Variant Analysis Immunoglobulin And T Cell Receptor Gene Rearrangements Duplication Deletion Variants Of 1 Exon Loss Of Heterozygosity Loh Uniparental Disomy Upd Chromosome 1p 19q Eg Glial Tumors Deletion Analysis Chromosome 18q Eg D18s55 D18s58 D18s61 D18s64 And D18s69 Eg Colon Cancer Allelic Imbalance Assessment Ie Loss Of Heterozygosity Col1a1 Pdgfb T 17 22 Eg Dermatofibrosarcoma Protuberans Translocation Analysis Multiple Breakpoints Qualitative And Quantitative If Performed Cyp21a2 Cytochrome P450 Family 21 Subfamily A Polypeptide 2 Eg Congenital Adrenal Hyperplasia 21 Hydroxylase Deficiency Common Variants Eg Ivs2 13g P30l I172n Exon 6 Mutation Cluster I235n V236e M238k V281l L307ffsx6 Q318x R356w P453s G110vfsx21 30 Kb Deletion Variant Esr1 Pgr Receptor 1 Progesterone Receptor Ratio Eg Breast Cancer Mefv Mediterranean Fever Eg Familial Mediterranean Fever Common Variants Eg E148q P369s F479l M680i I692del M694v M694i K695r V726a A744s R761h Trd T Cell Antigen Receptor Delta Eg Leukemia And Lymphoma Gene Rearrangement Analysis Evaluation To Detect Abnormal Clonal Population Uniparental Disomy Upd Eg Russell Silver Syndrome Prader Willi Angelman Syndrome Short Tandem Repeat Str AnalysisSign up free to see the CPT description

Medicaid rate by state

814028 jurisdictions shown, more may be in the platform
Comparable rates shown
8
Shown lowest
$120.26
Shown median
$150.33
Shown highest
$230.07
Alaska: not shown here - Alaska's full fee schedule is in the platformAlabama: not shown here - Alabama's full fee schedule is in the platformArkansas: $177.02, effective September 2026Arizona: not shown here - Arizona's full fee schedule is in the platformCalifornia: not shown here - California's full fee schedule is in the platformColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: not shown here - Connecticut's full fee schedule is in the platformDistrict of Columbia: not shown here - District of Columbia's full fee schedule is in the platformDelaware: not shown here - Delaware's full fee schedule is in the platformFlorida: not shown here - Florida's full fee schedule is in the platformGeorgia: not shown here - Georgia's full fee schedule is in the platformHawaii: $150.33, effective June 2026Iowa: $134.73 (median of $122.60 to $144.24 by rate type), effective September 2026Idaho: $129.89, effective October 2026Illinois: not shown here - Illinois's full fee schedule is in the platformIndiana: $150.33, effective September 2026Kansas: $230.07 (ordinary statewide rate; $172.55 to $230.07 by rate type), effective October 2026Kentucky: not shown here - Kentucky's full fee schedule is in the platformLouisiana: not shown here - Louisiana's full fee schedule is in the platformMassachusetts: not shown here - Massachusetts's full fee schedule is in the platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: $150.33, effective September 2026Missouri: not shown here - Missouri's full fee schedule is in the platformMississippi: not shown here - Mississippi's full fee schedule is in the platformMontana: not shown here - Montana's full fee schedule is in the platformNorth Carolina: not shown here - North Carolina's full fee schedule is in the platformNorth Dakota: not shown here - North Dakota's full fee schedule is in the platformNebraska: not shown here - Nebraska's full fee schedule is in the platformNew Hampshire: not shown here - New Hampshire's full fee schedule is in the platformNew Jersey: not shown here - New Jersey's full fee schedule is in the platformNew Mexico: not shown here - New Mexico's full fee schedule is in the platformNevada: not shown here - Nevada's full fee schedule is in the platformNew York: not shown here - New York's full fee schedule is in the platformOhio: not shown here - Ohio's full fee schedule is in the platformOklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: $120.26, effective September 2026Pennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRhode Island: not shown here - Rhode Island's full fee schedule is in the platformSouth Carolina: not shown here - South Carolina's full fee schedule is in the platformSouth Dakota: not shown here - South Dakota's full fee schedule is in the platformTexas: not shown here - Texas's full fee schedule is in the platformUtah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: not shown here - Vermont's full fee schedule is in the platformWashington: not shown here - Washington's full fee schedule is in the platformWisconsin: not shown here - Wisconsin's full fee schedule is in the platformWest Virginia: not shown here - West Virginia's full fee schedule is in the platformWyoming: not shown here - Wyoming's full fee schedule is in the platformAKALARAZCACOFLGAIAID$129.89ILINKS$230.07KYLAMEMIMN$150.33MOMSMTNCNDNENMNVNYOHOKOR$120.26PASCSDTN!TXUTVAWAWIWVWY
Small states:CTDCDEHI$150.33MAMDNHNJRIVT
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $150.33
  1. KS$230.07
  2. AR$177.02
  3. HI$150.33
  4. IN$150.33
  5. MN$150.33
  6. IA$134.73
  7. ID$129.89
  8. OR$120.26

Hatched states are not shown here. Flat grey means no single comparable rate is available for 81402.

Rate history for one state

Select a state on the map to see how its rate has moved - the platform holds 195 published periods back to 2001. Not part of the free view.

Historical rates are part of the platform

The table behind this panel shows the fields available in historical schedules; it does not display synthetic dates or rates. The real history, every published schedule back to 2001 for all 17,674 codes, is in the platform.

Book a 15-min Medicaid walkthrough

The 8 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
KansasJan 1, 2013
$172.55 to $230.07 across 3 rate types
Max Fee
$230.07
Max Fee with Adjustment · Exempt Physician · 75% of max fee
$172.55
Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
$172.55
Not published$230.07ordinary statewide rate
ArkansasSeptember 2026Not published$177.02
HawaiiJune 2026Not published$150.33
IndianaJul 1, 2024Not required$150.33
MinnesotaJan 1, 2018Not published$150.33
IowaJul 1, 2024
$122.60 to $144.24 across 4 rate types
General
$144.24
Provider type 03
$144.24
Provider type 68
$125.22
Provider type 50
$122.60
Not published$134.73median across rate types
IdahoSep 1, 2025Required$129.89
OregonOct 1, 2024Not published$120.26

Rates by provider, program, modifier, or setting

Check the rate type, modifiers, and place of service before using an amount. These amounts are not interchangeable.

JurisdictionRate typeModifiersNon-facility rateFacility rate
ArkansasGeneral26$12.39—
ArkansasGeneralTC$164.63—

Labels summarize each state's published rate context. Provider specialty lists, place-of-service lists and adjustment codes are in the full dataset. See the full context in the platform

Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.

More states may price 81402 than are shown here

The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.

Book a demo to see all 50 jurisdictions

No comparable statewide physician fee schedule is available for Tennessee. Why.

Methodology

Each jurisdiction's published Medicaid fee-for-service physician schedule is downloaded at the source, parsed, and normalized into a shared schema of jurisdiction, effective period, rate type, code, modifier, non-facility rate, and facility rate. Rates are carried through unchanged - no averaging, interpolation, or cross-jurisdiction adjustment is applied. Where a program publishes a single rate for both settings, the same value appears in both columns. Managed-care contracts, eligibility, coverage rules, modifiers not shown, and claim-specific adjustments can produce different payment.

Medicaid benefits and coverage at Medicaid.gov
Looking for Medicare rates? Search the Medicare fee schedule.