Texas Medicaid rate for CPT 20610
Texas Medicaid pays a median of $53.70 across its rate types for CPT 20610 in its September 2026 fee-for-service schedule: the 20th-lowest of 44 state Medicaid programs, at 98% of the $54.825 median.
- Non-facility rate
- $53.70
- Rank
- 25 of 44
- vs. state median
- 98%
- vs. TX Medicare
- 76-83%
What Texas Medicaid publishes for 20610
20th-lowest of 44 · 98% of median
- Schedule
- September 2026
- In effect since
- Mar 1, 2026
$52.39 to $55.01 across 2 rate types
- Surgery · Under 21
- $55.01
- Surgery · Ages 21+
- $52.39
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. TMHP Static Fee Schedules
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. Texas |
|---|---|---|
| Arkansas | $40.26 | -25% |
| Louisiana | $53.90 | +0% |
| New Mexico | $92.67 | +73% |
| Oklahoma | $59.63 | +11% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in Texas is $65.01 to $70.61 across its 8 payment localities; Texas Medicaid's rate is 76-83% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 20610.
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