Rates through October 2026State-published files · No login required
81405 Medicaid Fee Schedule Rates by State
Compare 81405 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.
Available data
50
Jurisdictions covered
17,674
Distinct codes
974,327
Published rates
20
Codes free in all 50 jurisdictions
Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for 81405
81405 8 jurisdictions shown, more may be in the platform
Mopath Procedure Level 6, Molecular Pathology Procedure Level 6 (Eg Analysis Of 6-10 Exons By Dna Sequence Analysis Mutation Scanning Or Duplication Deletion Variants Of 11-25 Exons Regionally Targeted Cytogenomic Array Analysis) Abcd1 (Atp-Binding Cassette Sub-Family D [Ald] Member 1) (Eg Adrenoleukodystrophy) Full Gene Sequence Acads (Acyl-Coa Dehydrogenase C-2 To C-3 Short Chain) (Eg Short Chain Acyl-Coa Dehydrogenase Deficiency) Full Gene Sequence Acta2 (Actin Alpha 2 Smooth Muscle Aorta) (Eg Thoracic Aortic Aneurysms And Aortic Dissections) Full Gene Sequence Actc1 (Actin Alpha Cardiac Muscle 1) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Ankrd1 (Ankyrin Repeat Domain 1) (Eg Dilated Cardiomyopathy) Full Gene Sequence Aptx (Aprataxin) (Eg Ataxia With Oculomotor Apraxia 1) Full Gene Sequence Arsa (Arylsulfatase A) (Eg Arylsulfatase A Deficiency) Full Gene Sequence Bckdha (Branched Chain Keto Acid Dehydrogenase E1 Alpha Polypeptide) (Eg Maple Syrup Urine Disease Type 1a) Full Gene Sequence Bcs1l (Bcs1-Like [S. Cerevisiae]) (Eg Leigh Syndrome Mitochondrial Complex Iii Deficiency Gracile Syndrome) Full Gene Sequence Bmpr2 (Bone Morphogenetic Protein Receptor Type Ii [Serine Threonine Kinase]) (Eg Heritable Pulmonary Arterial Hypertension) Duplication Deletion Analysis Casq2 (Calsequestrin 2 [Cardiac Muscle]) (Eg Catecholaminergic Polymorphic Ventricular Tachycardia) Full Gene Sequence Casr (Calcium-Sensing Receptor) (Eg Hypocalcemia) Full Gene Sequence Cdkl5 (Cyclin-Dependent Kinase-Like 5) (Eg Early Infantile Epileptic Encephalopathy) Duplication Deletion Analysis Chrna4 (Cholinergic Receptor Nicotinic Alpha 4) (Eg Nocturnal Frontal Lobe Epilepsy) Full Gene Sequence Chrnb2 (Cholinergic Receptor Nicotinic Beta 2 [Neuronal]) (Eg Nocturnal Frontal Lobe Epilepsy) Full Gene Sequence Cox10 (Cox10 Homolog Cytochrome C Oxidase Assembly Protein) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Cox15 (Cox15 Homolog Cytochrome C Oxidase Assembly Protein) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Cpox (Coproporphyrinogen Oxidase) (Eg Hereditary Coproporphyria) Full Gene Sequence Ctrc (Chymotrypsin C) (Eg Hereditary Pancreatitis) Full Gene Sequence Cyp11b1 (Cytochrome P450 Family 11 Subfamily B Polypeptide 1) (Eg Congenital Adrenal Hyperplasia) Full Gene Sequence Cyp17a1 (Cytochrome P450 Family 17 Subfamily A Polypeptide 1) (Eg Congenital Adrenal Hyperplasia) Full Gene Sequence Cyp21a2 (Cytochrome P450 Family 21 Subfamily A Polypeptide2) (Eg Steroid 21-Hydroxylase Isoform Congenital Adrenal Hyperplasia) Full Gene Sequence Cytogenomic Constitutional Targeted Microarray Analysis Of Chromosome 22q13 By Interrogation Of Genomic Regions For Copy Number And Single Nucleotide Polymorphism (Snp) Variants For Chromosomal Abnormalities (When Performing Cytogenomic [Genome-Wide] Analysis For Constitutional Chromosomal Abnormalities See 81228 81229 81349) (Do Not Report Analyte-Specific Molecular Pathology Procedures Separately When The Specific Analytes Are Included As Part Of The Microarray Analysis Of Chromosome 22q13) (Do Not Report 88271 When Performing Cytogenomic Microarray Analysis) Dbt (Dihydrolipoamide Branched Chain Transacylase E2) (Eg Maple Syrup Urine Disease Type 2) Duplication Deletion Analysis Dcx (Doublecortin) (Eg X-Linked Lissencephaly) Full Gene Sequence Des (Desmin) (Eg Myofibrillar Myopathy) Full Gene Sequence Dfnb59 (Deafness Autosomal Recessive 59) (Eg Autosomal Recessive Nonsyndromic Hearing Impairment) Full Gene Sequence Dguok (Deoxyguanosine Kinase) (Eg Hepatocerebral Mitochondrial Dna Depletion Syndrome) Full Gene Sequence Dhcr7 (7-Dehydrocholesterol Reductase) (Eg Smith-Lemli-Opitz Syndrome) Full Gene Sequence Eif2b2 (Eukaryotic Translation Initiation Factor 2b Subunit 2 Beta 39kda) (Eg Leukoencephalopathy With Vanishing White Matter) Full Gene Sequence Emd (Emerin) (Eg Emery-Dreifuss Muscular Dystrophy) Full Gene Sequence Eng (Endoglin) (Eg Hereditary Hemorrhagic Telangiectasia Type 1) Duplication Deletion Analysis Eya1 (Eyes Absent Homolog 1 [Drosophila]) (Eg Branchio-Oto-Renal [Bor] Spectrum Disorders) Duplication Deletion Analysis Fgfr1 (Fibroblast Growth Factor Receptor 1) (Eg Kallmann Syndrome 2) Full Gene Sequence Fh (Fumarate Hydratase) (Eg Fumarate Hydratase Deficiency Hereditary Leiomyomatosis With Renal Cell Cancer) Full Gene Sequence Fktn (Fukutin) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2m Or 2l) Full Gene Sequence Ftsj1 (Ftsj Rna 2-O-Methyltransferase 1) (Eg X-Linked Intellectual Disability 9) Duplication Deletion Analysis Gabrg2 (Gamma-Aminobutyric Acid [Gaba] A Receptor Gamma 2) (Eg Generalized Epilepsy With Febrile Seizures) Full Gene Sequence Gch1 (Gtp Cyclohydrolase 1) (Eg Autosomal Dominant Dopa-Responsive Dystonia) Full Gene Sequence Gdap1 (Ganglioside-Induced Differentiation-Associated Protein 1) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Gfap (Glial Fibrillary Acidic Protein) (Eg Alexander Disease) Full Gene Sequence Ghr (Growth Hormone Receptor) (Eg Laron Syndrome) Full Gene Sequence Ghrhr (Growth Hormone Releasing Hormone Receptor) (Eg Growth Hormone Deficiency) Full Gene Sequence Gla (Galactosidase Alpha) (Eg Fabry Disease) Full Gene Sequence Hnf1a (Hnf1 Homeobox A) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Hnf1b (Hnf1 Homeobox B) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Htra1 (Htra Serine Peptidase 1) (Eg Macular Degeneration) Full Gene Sequence Ids (Iduronate 2-Sulfatase) (Eg Mucopolysacchridosis Type Ii) Full Gene Sequence Il2rg (Interleukin 2 Receptor Gamma) (Eg X-Linked Severe Combined Immunodeficiency) Full Gene Sequence Ispd (Isoprenoid Synthase Domain Containing) (Eg Muscle-Eye-Brain Disease Walker-Warburg Syndrome) Full Gene Sequence Kras (Kirsten Rat Sarcoma Viral Oncogene Homolog) (Eg Noonan Syndrome) Full Gene Sequence Lamp2 (Lysosomal-Associated Membrane Protein 2) (Eg Danon Disease) Full Gene Sequence Ldlr (Low Density Lipoprotein Receptor) (Eg Familial Hypercholesterolemia) Duplication Deletion Analysis Men1 (Multiple Endocrine Neoplasia I) (Eg Multiple Endocrine Neoplasia Type 1 Wermer Syndrome) Full Gene Sequence Mmaa (Methylmalonic Aciduria [Cobalamine Deficiency] Type A) (Eg Mmaa-Related Methylmalonic Acidemia) Full Gene Sequence Mmab (Methylmalonic Aciduria [Cobalamine Deficiency] Type B) (Eg Mmaa-Related Methylmalonic Acidemia) Full Gene Sequence Mpi (Mannose Phosphate Isomerase) (Eg Congenital Disorder Of Glycosylation 1b) Full Gene Sequence Mpv17 (Mpv17 Mitochondrial Inner Membrane Protein) (Eg Mitochondrial Dna Depletion Syndrome) Full Gene Sequence Mpz (Myelin Protein Zero) (Eg Charcot-Marie-Tooth) Full Gene Sequence Mtm1 (Myotubularin 1) (Eg X-Linked Centronuclear Myopathy) Duplication Deletion Analysis Myl2 (Myosin Light Chain 2 Regulatory Cardiac Slow) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Myl3 (Myosin Light Chain 3 Alkali Ventricular Skeletal Slow) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Myot (Myotilin) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Ndufs7 (Nadh Dehydrogenase [Ubiquinone] Fe-S Protein 7 20kda [Nadh-Coenzyme Q Reductase]) (Eg Leigh Syndrome Mitochondrial Complex I Deficiency) Full Gene Sequence Ndufs8 (Nadh Dehydrogenase [Ubiquinone] Fe-S Protein 8 23kda [Nadh-Coenzyme Q Reductase]) (Eg Leigh Syndrome Mitochondrial Complex I Deficiency) Full Gene Sequence Ndufv1 (Nadh Dehydrogenase [Ubiquinone] Flavoprotein 1 51kda) (Eg Leigh Syndrome Mitochondrial Complex I Deficiency) Full Gene Sequence Nefl (Neurofilament Light Polypeptide) (Eg Charcot-Marie-Tooth) Full Gene Sequence Nf2 (Neurofibromin 2 [Merlin]) (Eg Neurofibromatosis Type 2) Duplication Deletion Analysis Nlgn3 (Neuroligin 3) (Eg Autism Spectrum Disorders) Full Gene Sequence Nlgn4x (Neuroligin 4 X-Linked) (Eg Autism Spectrum Disorders) Full Gene Sequence Nphp1 (Nephronophthisis 1 [Juvenile]) (Eg Joubert Syndrome) Deletion Analysis And Duplication Analysis If Performed Nphs2 (Nephrosis 2 Idiopathic Steroid-Resistant [Podocin]) (Eg Steroid-Resistant Nephrotic Syndrome) Full Gene Sequence Nsd1 (Nuclear Receptor Binding Set Domain Protein 1) (Eg Sotos Syndrome) Duplication Deletion Analysis Otc (Ornithine Carbamoyltransferase) (Eg Ornithine Transcarbamylase Deficiency) Full Gene Sequence Pafah1b1 (Platelet-Activating Factor Acetylhydrolase 1b Regulatory Subunit 1 [45kda]) (Eg Lissencephaly Miller-Dieker Syndrome) Duplication Deletion Analysis Park2 (Parkinson Protein 2 E3 Ubiquitin Protein Ligase [Parkin]) (Eg Parkinson Disease) Duplication Deletion Analysis Pcca (Propionyl Coa Carboxylase Alpha Polypeptide) (Eg Propionic Acidemia Type 1) Duplication Deletion Analysis Pcdh19 (Protocadherin 19) (Eg Epileptic Encephalopathy) Full Gene Sequence Pdha1 (Pyruvate Dehydrogenase [Lipoamide] Alpha 1) (Eg Lactic Acidosis) Duplication Deletion Analysis Pdhb (Pyruvate Dehydrogenase [Lipoamide] Beta) (Eg Lactic Acidosis) Full Gene Sequence Pink1 (Pten Induced Putative Kinase 1) (Eg Parkinson Disease) Full Gene Sequence Pklr (Pyruvate Kinase Liver And Rbc) (Eg Pyruvate Kinase Deficiency) Full Gene Sequence Plp1 (Proteolipid Protein 1) (Eg Pelizaeus-Merzbacher Disease Spastic Paraplegia) Full Gene Sequence Pou1f1 (Pou Class 1 Homeobox 1) (Eg Combined Pituitary Hormone Deficiency) Full Gene Sequence Prx (Periaxin) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Pqbp1 (Polyglutamine Binding Protein 1) (Eg Renpenning Syndrome) Full Gene Sequence Psen1 (Presenilin 1) (Eg Alzheimer Disease) Full Gene Sequence Rab7a (Rab7a Member Ras Oncogene Family) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Rai1 (Retinoic Acid Induced 1) (Eg Smith-Magenis Syndrome) Full Gene Sequence Reep1 (Receptor Accessory Protein 1) (Eg Spastic Paraplegia) Full Gene Sequence Ret (Ret Proto-Oncogene) (Eg Multiple Endocrine Neoplasia Type 2a And Familial Medullary Thyroid Carcinoma) Targeted Sequence Analysis (Eg Exons 10 11 13-16) Rps19 (Ribosomal Protein S19) (Eg Diamond-Blackfan Anemia) Full Gene Sequence Rrm2b (Ribonucleotide Reductase M2 B [Tp53 Inducible]) (Eg Mitochondrial Dna Depletion) Full Gene Sequence Sco1 (Sco Cytochrome Oxidase Deficient Homolog 1) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Sdhb (Succinate Dehydrogenase Complex Subunit B Iron Sulfur) (Eg Hereditary Paraganglioma) Full Gene Sequence Sdhc (Succinate Dehydrogenase Complex Subunit C Integral Membrane Protein 15kda) (Eg Hereditary Paraganglioma-Pheochromocytoma Syndrome) Full Gene Sequence Sgca (Sarcoglycan Alpha [50kda Dystrophin-Associated Glycoprotein]) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Sgcb (Sarcoglycan Beta [43kda Dystrophin-Associated Glycoprotein]) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Sgcd (Sarcoglycan Delta [35kda Dystrophin-Associated Glycoprotein]) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Sgce (Sarcoglycan Epsilon) (Eg Myoclonic Dystonia) Duplication Deletion Analysis Sgcg (Sarcoglycan Gamma [35kda Dystrophin-Associated Glycoprotein]) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Shoc2 (Soc-2 Suppressor Of Clear Homolog) (Eg Noonan-Like Syndrome With Loose Anagen Hair) Full Gene Sequence Shox (Short Stature Homeobox) (Eg Langer Mesomelic Dysplasia) Full Gene Sequence Sil1 (Sil1 Homolog Endoplasmic Reticulum Chaperone [S. Cerevisiae]) (Eg Ataxia) Full Gene Sequence Slc2a1 (Solute Carrier Family 2 [Facilitated Glucose Transporter] Member 1) (Eg Glucose Transporter Type 1 [Glut 1] Deficiency Syndrome) Full Gene Sequence Slc16a2 (Solute Carrier Family 16 Member 2 [Thyroid Hormone Transporter]) (Eg Specific Thyroid Hormone Cell Transporter Deficiency Allan-Herndon-Dudley Syndrome) Full Gene Sequence Slc22a5 (Solute Carrier Family 22 [Organic Cation Carnitine Transporter] Member 5) (Eg Systemic Primary Carnitine Deficiency) Full Gene Sequence Slc25a20 (Solute Carrier Family 25 [Carnitine Acylcarnitine Translocase] Member 20) (Eg Carnitine-Acylcarnitine Translocase Deficiency) Full Gene Sequence Smad4 (Smad Family Member 4) (Eg Hemorrhagic Telangiectasia Syndrome Juvenile Polyposis) Duplication Deletion Analysis Spast (Spastin) (Eg Spastic Paraplegia) Duplication Deletion Analysis Spg7 (Spastic Paraplegia 7 [Pure And Complicated Autosomal Recessive]) (Eg Spastic Paraplegia) Duplication Deletion Analysis Spred1 (Sprouty-Related Evh1 Domain Containing 1) (Eg Legius Syndrome) Full Gene Sequence Stat3 (Signal Transducer And Activator Of Transcription 3 [Acute-Phase Response Factor]) (Eg Autosomal Dominant Hyper-Ige Syndrome) Targeted Sequence Analysis (Eg Exons 12 13 14 16 17 20 21) Stk11 (Serine Threonine Kinase 11) (Eg Peutz-Jeghers Syndrome) Full Gene Sequence Surf1 (Surfeit 1) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Tardbp (Tar Dna Binding Protein) (Eg Amyotrophic Lateral Sclerosis) Full Gene Sequence Tbx5 (T-Box 5) (Eg Holt-Oram Syndrome) Full Gene Sequence Tcf4 (Transcription Factor 4) (Eg Pitt-Hopkins Syndrome) Duplication Deletion Analysis Tgfbr1 (Transforming Growth Factor Beta Receptor 1) (Eg Marfan Syndrome) Full Gene Sequence Tgfbr2 (Transforming Growth Factor Beta Receptor 2) (Eg Marfan Syndrome) Full Gene Sequence Thrb (Thyroid Hormone Receptor Beta) (Eg Thyroid Hormone Resistance Thyroid Hormone Beta Receptor Deficiency) Full Gene Sequence Or Targeted Sequence Analysis Of >5 Exons Tk2 (Thymidine Kinase 2 Mitochondrial) (Eg Mitochondrial Dna Depletion Syndrome) Full Gene Sequence Tnnc1 (Troponin C Type 1 [Slow]) (Eg Hypertrophic Cardiomyopathy Or Dilated Cardiomyopathy) Full Gene Sequence Tnni3 (Troponin I Type 3 [Cardiac]) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Tpm1 (Tropomyosin 1 [Alpha]) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Tsc1 (Tuberous Sclerosis 1) (Eg Tuberous Sclerosis) Duplication Deletion Analysis Tymp (Thymidine Phosphorylase) (Eg Mitochondrial Dna Depletion Syndrome) Full Gene Sequence Vwf (Von Willebrand Factor) (Eg Von Willebrand Disease Type 2n) Targeted Sequence Analysis (Eg Exons 18-20 23-25) Wt1 (Wilms Tumor 1) (Eg Denys-Drash Syndrome Familial Wilms Tumor) Full Gene Sequence Zeb2 (Zinc Finger E-Box Binding Homeobox 2) (Eg Mowat-Wilson Syndrome) Full Gene SequenceSign up free to see the CPT description
Medicaid rate by state
814058 jurisdictions shown, more may be in the platform
- Comparable rates shown
- 8
- Shown lowest
- $241.08
- Shown median
- $301.35
- Shown highest
- $516.86
Small states:CTDCDEHI$301.35MAMDNHNJRIVT$293.82
No published rateNot shown hereNot loaded yetNo schedule published
Ranked by rate
shown median $301.35- AR$516.86
- KS$480.69
- HI$301.35
- IN$301.35
- MN$301.35
- VT$293.82
- ID$260.37
- OR$241.08
Hatched states are not shown here. Flat grey means no single comparable rate is available for 81405.
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 walkthroughThe 8 jurisdictions shown in full
| Jurisdiction | Prior auth | Non-facility rate |
|---|---|---|
| ArkansasSeptember 2026 | Not published | $516.86 |
KansasJan 1, 2013$360.52 to $480.69 across 3 rate types
| Not published | $480.69ordinary statewide rate |
| HawaiiJune 2026 | Not published | $301.35 |
| IndianaOct 1, 2020 | Required | $301.35 |
| MinnesotaJan 1, 2018 | Not published | $301.35 |
| VermontJan 1, 2026 | Required | $293.82 |
| IdahoSep 1, 2025 | Required | $260.37 |
| OregonOct 1, 2024 | Not published | $241.08 |
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.
| Jurisdiction | Rate type | Modifiers | Non-facility rate | Facility rate |
|---|---|---|---|---|
| Arkansas | General | 26 | $36.18 | — |
| Arkansas | General | TC | $480.68 | — |
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 81405 than are shown here
The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.
What commercial payers pay for 81405
Compare this state-published Medicaid fee-for-service amount with the negotiated commercial rates payers have published for the same code.
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.govLooking for Medicare rates? Search the Medicare fee schedule.