D5511 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $88.85 for D5511 across 43 states, from $40.00 in Maryland to $279.33 in Delaware.
- States publishing
- 43
- National median
- $88.85units vary by state
- Lowest
- $40.00Maryland
- Highest
- $279.33Delaware
What does Medicaid pay for D5511?
43 state Medicaid programs publish a fee-for-service rate for D5511. The national median is $88.85 (units differ between states). Delaware pays the most, $279.33, and Maryland the least, $40.00, a 7.0x spread.
D5511 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5511?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $88.85. Delaware pays the most ($279.33) and Maryland the least ($40.00).
Which state pays the highest Medicaid rate for D5511?
Delaware, at $279.33, effective 2026-04-01.
Do managed-care plans pay the same rate for D5511?
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.