Rates through October 2026State-published files · No login required
81406 Medicaid Fee Schedule Rates by State
Compare 81406 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 81406
81406 8 jurisdictions shown, more may be in the platform
Mopath Procedure Level 7, Molecular Pathology Procedure Level 7 (Eg Analysis Of 11-25 Exons By Dna Sequence Analysis Mutation Scanning Or Duplication Deletion Variants Of 26-50 Exons) Acadvl (Acyl-Coa Dehydrogenase Very Long Chain) (Eg Very Long Chain Acyl-Coenzyme A Dehydrogenase Deficiency) Full Gene Sequence Actn4 (Actinin Alpha 4) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Afg3l2 (Afg3 Atpase Family Gene 3-Like 2 [S. Cerevisiae]) (Eg Spinocerebellar Ataxia) Full Gene Sequence Aire (Autoimmune Regulator) (Eg Autoimmune Polyendocrinopathy Syndrome Type 1) Full Gene Sequence Aldh7a1 (Aldehyde Dehydrogenase 7 Family Member A1) (Eg Pyridoxine-Dependent Epilepsy) Full Gene Sequence Ano5 (Anoctamin 5) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Anos1 (Anosmin-1) (Eg Kallmann Syndrome 1) Full Gene Sequence App (Amyloid Beta [A4] Precursor Protein) (Eg Alzheimer Disease) Full Gene Sequence Ass1 (Argininosuccinate Synthase 1) (Eg Citrullinemia Type I) Full Gene Sequence Atl1 (Atlastin Gtpase 1) (Eg Spastic Paraplegia) Full Gene Sequence Atp1a2 (Atpase Na+ K+ Transporting Alpha 2 Polypeptide) (Eg Familial Hemiplegic Migraine) Full Gene Sequence Atp7b (Atpase Cu++ Transporting Beta Polypeptide) (Eg Wilson Disease) Full Gene Sequence Bbs1 (Bardet-Biedl Syndrome 1) (Eg Bardet-Biedl Syndrome) Full Gene Sequence Bbs2 (Bardet-Biedl Syndrome 2) (Eg Bardet-Biedl Syndrome) Full Gene Sequence Bckdhb (Branched-Chain Keto Acid Dehydrogenase E1 Beta Polypeptide) (Eg Maple Syrup Urine Disease Type 1b) Full Gene Sequence Best1 (Bestrophin 1) (Eg Vitelliform Macular Dystrophy) Full Gene Sequence Bmpr2 (Bone Morphogenetic Protein Receptor Type Ii [Serine Threonine Kinase]) (Eg Heritable Pulmonary Arterial Hypertension) Full Gene Sequence Braf (B-Raf Proto-Oncogene Serine Threonine Kinase) (Eg Noonan Syndrome) Full Gene Sequence Bscl2 (Berardinelli-Seip Congenital Lipodystrophy 2 [Seipin]) (Eg Berardinelli-Seip Congenital Lipodystrophy) Full Gene Sequence Btk (Bruton Agammaglobulinemia Tyrosine Kinase) (Eg X-Linked Agammaglobulinemia) Full Gene Sequence Cacnb2 (Calcium Channel Voltage-Dependent Beta 2 Subunit) (Eg Brugada Syndrome) Full Gene Sequence Capn3 (Calpain 3) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2a Calpainopathy) Full Gene Sequence Cbs (Cystathionine-Beta-Synthase) (Eg Homocystinuria Cystathionine Beta-Synthase Deficiency) Full Gene Sequence Cdh1 (Cadherin 1 Type 1 E-Cadherin [Epithelial]) (Eg Hereditary Diffuse Gastric Cancer) Full Gene Sequence Cdkl5 (Cyclin-Dependent Kinase-Like 5) (Eg Early Infantile Epileptic Encephalopathy) Full Gene Sequence Clcn1 (Chloride Channel 1 Skeletal Muscle) (Eg Myotonia Congenita) Full Gene Sequence Clcnkb (Chloride Channel Voltage-Sensitive Kb) (Eg Bartter Syndrome 3 And 4b) Full Gene Sequence Cntnap2 (Contactin-Associated Protein-Like 2) (Eg Pitt-Hopkins-Like Syndrome 1) Full Gene Sequence Col6a2 (Collagen Type Vi Alpha 2) (Eg Collagen Type Vi-Related Disorders) Duplication Deletion Analysis Cpt1a (Carnitine Palmitoyltransferase 1a [Liver]) (Eg Carnitine Palmitoyltransferase 1a [Cpt1a] Deficiency) Full Gene Sequence Crb1 (Crumbs Homolog 1 [Drosophila]) (Eg Leber Congenital Amaurosis) Full Gene Sequence Crebbp (Creb Binding Protein) (Eg Rubinstein-Taybi Syndrome) Duplication Deletion Analysis Dbt (Dihydrolipoamide Branched Chain Transacylase E2) (Eg Maple Syrup Urine Disease Type 2) Full Gene Sequence Dlat (Dihydrolipoamide S-Acetyltransferase) (Eg Pyruvate Dehydrogenase E2 Deficiency) Full Gene Sequence Dld (Dihydrolipoamide Dehydrogenase) (Eg Maple Syrup Urine Disease Type Iii) Full Gene Sequence Dsc2 (Desmocollin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 11) Full Gene Sequence Dsg2 (Desmoglein 2) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 10) Full Gene Sequence Dsp (Desmoplakin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 8) Full Gene Sequence Efhc1 (Ef-Hand Domain [C-Terminal] Containing 1) (Eg Juvenile Myoclonic Epilepsy) Full Gene Sequence Eif2b3 (Eukaryotic Translation Initiation Factor 2b Subunit 3 Gamma 58kda) (Eg Leukoencephalopathy With Vanishing White Matter) Full Gene Sequence Eif2b4 (Eukaryotic Translation Initiation Factor 2b Subunit 4 Delta 67kda) (Eg Leukoencephalopathy With Vanishing White Matter) Full Gene Sequence Eif2b5 (Eukaryotic Translation Initiation Factor 2b Subunit 5 Epsilon 82kda) (Eg Childhood Ataxia With Central Nervous System Hypomyelination Vanishing White Matter) Full Gene Sequence Eng (Endoglin) (Eg Hereditary Hemorrhagic Telangiectasia Type 1) Full Gene Sequence Eya1 (Eyes Absent Homolog 1 [Drosophila]) (Eg Branchio-Oto-Renal [Bor] Spectrum Disorders) Full Gene Sequence F8 (Coagulation Factor Viii) (Eg Hemophilia A) Duplication Deletion Analysis Fah (Fumarylacetoacetate Hydrolase [Fumarylacetoacetase]) (Eg Tyrosinemia Type 1) Full Gene Sequence Fastkd2 (Fast Kinase Domains 2) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Fig4 (Fig4 Homolog Sac1 Lipid Phosphatase Domain Containing [S. Cerevisiae]) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Ftsj1 (Ftsj Rna 2-O-Methyltransferase 1) (Eg X-Linked Intellectual Disability 9) Full Gene Sequence Fus (Fused In Sarcoma) (Eg Amyotrophic Lateral Sclerosis) Full Gene Sequence Gaa (Glucosidase Alpha Acid) (Eg Glycogen Storage Disease Type Ii [Pompe Disease]) Full Gene Sequence Galc (Galactosylceramidase) (Eg Krabbe Disease) Full Gene Sequence Galt (Galactose-1-Phosphate Uridylyltransferase) (Eg Galactosemia) Full Gene Sequence Gars (Glycyl-Trna Synthetase) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Gcdh (Glutaryl-Coa Dehydrogenase) (Eg Glutaricacidemia Type 1) Full Gene Sequence Gck (Glucokinase [Hexokinase 4]) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Glud1 (Glutamate Dehydrogenase 1) (Eg Familial Hyperinsulinism) Full Gene Sequence Gne (Glucosamine [Udp-N-Acetyl]-2-Epimerase N-Acetylmannosamine Kinase) (Eg Inclusion Body Myopathy 2 [Ibm2] Nonaka Myopathy) Full Gene Sequence Grn (Granulin) (Eg Frontotemporal Dementia) Full Gene Sequence Hadha (Hydroxyacyl-Coa Dehydrogenase 3-Ketoacyl-Coa Thiolase Enoyl-Coa Hydratase [Trifunctional Protein] Alpha Subunit) (Eg Long Chain Acyl-Coenzyme A Dehydrogenase Deficiency) Full Gene Sequence Hadhb (Hydroxyacyl-Coa Dehydrogenase 3-Ketoacyl-Coa Thiolase Enoyl-Coa Hydratase [Trifunctional Protein] Beta Subunit) (Eg Trifunctional Protein Deficiency) Full Gene Sequence Hexa (Hexosaminidase A Alpha Polypeptide) (Eg Tay-Sachs Disease) Full Gene Sequence Hlcs (Hlcs Holocarboxylase Synthetase) (Eg Holocarboxylase Synthetase Deficiency) Full Gene Sequence Hmbs (Hydroxymethylbilane Synthase) (Eg Acute Intermittent Porphyria) Full Gene Sequence Hnf4a (Hepatocyte Nuclear Factor 4 Alpha) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Idua (Iduronidase Alpha-L-) (Eg Mucopolysaccharidosis Type I) Full Gene Sequence Inf2 (Inverted Formin Fh2 And Wh2 Domain Containing) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Ivd (Isovaleryl-Coa Dehydrogenase) (Eg Isovaleric Acidemia) Full Gene Sequence Jag1 (Jagged 1) (Eg Alagille Syndrome) Duplication Deletion Analysis Jup (Junction Plakoglobin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 11) Full Gene Sequence Kcnh2 (Potassium Voltage-Gated Channel Subfamily H [Eag-Related] Member 2) (Eg Short Qt Syndrome Long Qt Syndrome) Full Gene Sequence Kcnq1 (Potassium Voltage-Gated Channel Kqt-Like Subfamily Member 1) (Eg Short Qt Syndrome Long Qt Syndrome) Full Gene Sequence Kcnq2 (Potassium Voltage-Gated Channel Kqt-Like Subfamily Member 2) (Eg Epileptic Encephalopathy) Full Gene Sequence Ldb3 (Lim Domain Binding 3) (Eg Familial Dilated Cardiomyopathy Myofibrillar Myopathy) Full Gene Sequence Ldlr (Low Density Lipoprotein Receptor) (Eg Familial Hypercholesterolemia) Full Gene Sequence Lepr (Leptin Receptor) (Eg Obesity With Hypogonadism) Full Gene Sequence Lhcgr (Luteinizing Hormone Choriogonadotropin Receptor) (Eg Precocious Male Puberty) Full Gene Sequence Lmna (Lamin A C) (Eg Emery-Dreifuss Muscular Dystrophy [Edmd1 2 And 3] Limb-Girdle Muscular Dystrophy [Lgmd] Type 1b Dilated Cardiomyopathy [Cmd1a] Familial Partial Lipodystrophy [Fpld2]) Full Gene Sequence Lrp5 (Low Density Lipoprotein Receptor-Related Protein 5) (Eg Osteopetrosis) Full Gene Sequence Map2k1 (Mitogen-Activated Protein Kinase 1) (Eg Cardiofaciocutaneous Syndrome) Full Gene Sequence Map2k2 (Mitogen-Activated Protein Kinase 2) (Eg Cardiofaciocutaneous Syndrome) Full Gene Sequence Mapt (Microtubule-Associated Protein Tau) (Eg Frontotemporal Dementia) Full Gene Sequence Mccc1 (Methylcrotonoyl-Coa Carboxylase 1 [Alpha]) (Eg 3-Methylcrotonyl-Coa Carboxylase Deficiency) Full Gene Sequence Mccc2 (Methylcrotonoyl-Coa Carboxylase 2 [Beta]) (Eg 3-Methylcrotonyl Carboxylase Deficiency) Full Gene Sequence Mfn2 (Mitofusin 2) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Mtm1 (Myotubularin 1) (Eg X-Linked Centronuclear Myopathy) Full Gene Sequence Mut (Methylmalonyl Coa Mutase) (Eg Methylmalonic Acidemia) Full Gene Sequence Mutyh (Muty Homolog [E. Coli]) (Eg Myh-Associated Polyposis) Full Gene Sequence Ndufs1 (Nadh Dehydrogenase [Ubiquinone] Fe-S Protein 1 75kda [Nadh-Coenzyme Q Reductase]) (Eg Leigh Syndrome Mitochondrial Complex I Deficiency) Full Gene Sequence Nf2 (Neurofibromin 2 [Merlin]) (Eg Neurofibromatosis Type 2) Full Gene Sequence Notch3 (Notch 3) (Eg Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts And Leukoencephalopathy [Cadasil]) Targeted Sequence Analysis (Eg Exons 1-23) Npc1 (Niemann-Pick Disease Type C1) (Eg Niemann-Pick Disease) Full Gene Sequence Nphp1 (Nephronophthisis 1 [Juvenile]) (Eg Joubert Syndrome) Full Gene Sequence Nsd1 (Nuclear Receptor Binding Set Domain Protein 1) (Eg Sotos Syndrome) Full Gene Sequence Opa1 (Optic Atrophy 1) (Eg Optic Atrophy) Duplication Deletion Analysis Optn (Optineurin) (Eg Amyotrophic Lateral Sclerosis) Full Gene Sequence Pafah1b1 (Platelet-Activating Factor Acetylhydrolase 1b Regulatory Subunit 1 [45kda]) (Eg Lissencephaly Miller-Dieker Syndrome) Full Gene Sequence Pah (Phenylalanine Hydroxylase) (Eg Phenylketonuria) Full Gene Sequence Park2 (Parkinson Protein 2 E3 Ubiquitin Protein Ligase [Parkin]) (Eg Parkinson Disease) Full Gene Sequence Pax2 (Paired Box 2) (Eg Renal Coloboma Syndrome) Full Gene Sequence Pc (Pyruvate Carboxylase) (Eg Pyruvate Carboxylase Deficiency) Full Gene Sequence Pcca (Propionyl Coa Carboxylase Alpha Polypeptide) (Eg Propionic Acidemia Type 1) Full Gene Sequence Pccb (Propionyl Coa Carboxylase Beta Polypeptide) (Eg Propionic Acidemia) Full Gene Sequence Pcdh15 (Protocadherin-Related 15) (Eg Usher Syndrome Type 1f) Duplication Deletion Analysis Pcsk9 (Proprotein Convertase Subtilisin Kexin Type 9) (Eg Familial Hypercholesterolemia) Full Gene Sequence Pdha1 (Pyruvate Dehydrogenase [Lipoamide] Alpha 1) (Eg Lactic Acidosis) Full Gene Sequence Pdhx (Pyruvate Dehydrogenase Complex Component X) (Eg Lactic Acidosis) Full Gene Sequence Phex (Phosphate-Regulating Endopeptidase Homolog X-Linked) (Eg Hypophosphatemic Rickets) Full Gene Sequence Pkd2 (Polycystic Kidney Disease 2 [Autosomal Dominant]) (Eg Polycystic Kidney Disease) Full Gene Sequence Pkp2 (Plakophilin 2) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 9) Full Gene Sequence Pnkd (Paroxysmal Nonkinesigenic Dyskinesia) (Eg Paroxysmal Nonkinesigenic Dyskinesia) Full Gene Sequence Polg (Polymerase [Dna Directed] Gamma) (Eg Alpers-Huttenlocher Syndrome Autosomal Dominant Progressive External Ophthalmoplegia) Full Gene Sequence Pomgnt1 (Protein O-Linked Mannose Beta12-N Acetylglucosaminyltransferase) (Eg Muscle-Eye-Brain Disease Walker-Warburg Syndrome) Full Gene Sequence Pomt1 (Protein-O-Mannosyltransferase 1) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2k Walker-Warburg Syndrome) Full Gene Sequence Pomt2 (Protein-O-Mannosyltransferase 2) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2n Walker-Warburg Syndrome) Full Gene Sequence Ppox (Protoporphyrinogen Oxidase) (Eg Variegate Porphyria) Full Gene Sequence Prkag2 (Protein Kinase Amp-Activated Gamma 2 Non-Catalytic Subunit) (Eg Familial Hypertrophic Cardiomyopathy With Wolff-Parkinson-White Syndrome Lethal Congenital Glycogen Storage Disease Of Heart) Full Gene Sequence Prkcg (Protein Kinase C Gamma) (Eg Spinocerebellar Ataxia) Full Gene Sequence Psen2 (Presenilin 2 [Alzheimer Disease 4]) (Eg Alzheimer Disease) Full Gene Sequence Ptpn11 (Protein Tyrosine Phosphatase Non-Receptor Type 11) (Eg Noonan Syndrome Leopard Syndrome) Full Gene Sequence Pygm (Phosphorylase Glycogen Muscle) (Eg Glycogen Storage Disease Type V Mcardle Disease) Full Gene Sequence Raf1 (V-Raf-1 Murine Leukemia Viral Oncogene Homolog 1) (Eg Leopard Syndrome) Full Gene Sequence Ret (Ret Proto-Oncogene) (Eg Hirschsprung Disease) Full Gene Sequence Rpe65 (Retinal Pigment Epithelium-Specific Protein 65kda) (Eg Retinitis Pigmentosa Leber Congenital Amaurosis) Full Gene Sequence Ryr1 (Ryanodine Receptor 1 Skeletal) (Eg Malignant Hyperthermia) Targeted Sequence Analysis Of Exons With Functionally-Confirmed Mutations Scn4a (Sodium Channel Voltage-Gated Type Iv Alpha Subunit) (Eg Hyperkalemic Periodic Paralysis) Full Gene Sequence Scnn1a (Sodium Channel Nonvoltage-Gated 1 Alpha) (Eg Pseudohypoaldosteronism) Full Gene Sequence Scnn1b (Sodium Channel Nonvoltage-Gated 1 Beta) (Eg Liddle Syndrome Pseudohypoaldosteronism) Full Gene Sequence Scnn1g (Sodium Channel Nonvoltage-Gated 1 Gamma) (Eg Liddle Syndrome Pseudohypoaldosteronism) Full Gene Sequence Sdha (Succinate Dehydrogenase Complex Subunit A Flavoprotein [Fp]) (Eg Leigh Syndrome Mitochondrial Complex Ii Deficiency) Full Gene Sequence Setx (Senataxin) (Eg Ataxia) Full Gene Sequence Sgce (Sarcoglycan Epsilon) (Eg Myoclonic Dystonia) Full Gene Sequence Sh3tc2 (Sh3 Domain And Tetratricopeptide Repeats 2) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Slc9a6 (Solute Carrier Family 9 [Sodium Hydrogen Exchanger] Member 6) (Eg Christianson Syndrome) Full Gene Sequence Slc26a4 (Solute Carrier Family 26 Member 4) (Eg Pendred Syndrome) Full Gene Sequence Slc37a4 (Solute Carrier Family 37 [Glucose-6-Phosphate Transporter] Member 4) (Eg Glycogen Storage Disease Type Ib) Full Gene Sequence Smad4 (Smad Family Member 4) (Eg Hemorrhagic Telangiectasia Syndrome Juvenile Polyposis) Full Gene Sequence Sos1 (Son Of Sevenless Homolog 1) (Eg Noonan Syndrome Gingival Fibromatosis) Full Gene Sequence Spast (Spastin) (Eg Spastic Paraplegia) Full Gene Sequence Spg7 (Spastic Paraplegia 7 [Pure And Complicated Autosomal Recessive]) (Eg Spastic Paraplegia) Full Gene Sequence Stxbp1 (Syntaxin-Binding Protein 1) (Eg Epileptic Encephalopathy) Full Gene Sequence Taz (Tafazzin) (Eg Methylglutaconic Aciduria Type 2 Barth Syndrome) Full Gene Sequence Tcf4 (Transcription Factor 4) (Eg Pitt-Hopkins Syndrome) Full Gene Sequence Th (Tyrosine Hydroxylase) (Eg Segawa Syndrome) Full Gene Sequence Tmem43 (Transmembrane Protein 43) (Eg Arrhythmogenic Right Ventricular Cardiomyopathy) Full Gene Sequence Tnnt2 (Troponin T Type 2 [Cardiac]) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Trpc6 (Transient Receptor Potential Cation Channel Subfamily C Member 6) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Tsc1 (Tuberous Sclerosis 1) (Eg Tuberous Sclerosis) Full Gene Sequence Tsc2 (Tuberous Sclerosis 2) (Eg Tuberous Sclerosis) Duplication Deletion Analysis Ube3a (Ubiquitin Protein Ligase E3a) (Eg Angelman Syndrome) Full Gene Sequence Umod (Uromodulin) (Eg Glomerulocystic Kidney Disease With Hyperuricemia And Isosthenuria) Full Gene Sequence Vwf (Von Willebrand Factor) (Von Willebrand Disease Type 2a) Extended Targeted Sequence Analysis (Eg Exons 11-16 24-26 51 52) Was (Wiskott-Aldrich Syndrome [Eczema-Thrombocytopenia]) (Eg Wiskott-Aldrich Syndrome) Full Gene SequenceSign up free to see the CPT description
Medicaid rate by state
814068 jurisdictions shown, more may be in the platform
- Comparable rates shown
- 8
- Shown lowest
- $122.22
- Shown median
- $279.345
- Shown highest
- $1,013.10
Small states:CTDCDEHI$282.88MAMDNHNJRIVT$275.81
No published rateNot shown hereNot loaded yetNo schedule published
Ranked by rate
shown median $279.345- AR$1,013.10
- HI$282.88
- IN$282.88
- MN$282.88
- VT$275.81
- ID$244.41
- OR$226.30
- KS$122.22
Hatched states are not shown here. Flat grey means no single comparable rate is available for 81406.
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 | $1,013.10 |
| HawaiiJune 2026 | Not published | $282.88 |
| IndianaJul 1, 2024 | Required | $282.88 |
| MinnesotaJan 1, 2018 | Not published | $282.88 |
| VermontJan 1, 2026 | Required | $275.81 |
| IdahoSep 1, 2025 | Required | $244.41 |
| OregonOct 1, 2024 | Not published | $226.30 |
KansasJan 1, 2013$91.67 to $122.22 across 3 rate types
| Not published | $122.22ordinary statewide rate |
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 | $70.92 | — |
| Arkansas | General | TC | $942.18 | — |
| Idaho | General | EP | $260.37 | — |
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 81406 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 81406
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.