D0486 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $75.36 for D0486 across 7 states, from $35.44 in Kentucky to $97.79 in Oregon.
- States publishing
- 7
- National median
- $75.36units vary by state
- Lowest
- $35.44Kentucky
- Highest
- $97.79Oregon
What does Medicaid pay for D0486?
7 state Medicaid programs publish a fee-for-service rate for D0486. The national median is $75.36 (units differ between states). Oregon pays the most, $97.79, and Kentucky the least, $35.44, a 2.8x spread.
D0486 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D0486?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $75.36. Oregon pays the most ($97.79) and Kentucky the least ($35.44).
Which state pays the highest Medicaid rate for D0486?
Oregon, at $97.79, effective 2026-01-01.
Do managed-care plans pay the same rate for D0486?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.