D5611 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $86.10 for D5611 across 39 states, from $40.00 in California to $211.53 in Louisiana.
- States publishing
- 39
- National median
- $86.10units vary by state
- Lowest
- $40.00California
- Highest
- $211.53Louisiana
What does Medicaid pay for D5611?
39 state Medicaid programs publish a fee-for-service rate for D5611. The national median is $86.10 (units differ between states). Louisiana pays the most, $211.53, and California the least, $40.00 per percent of SMA, a 5.3x spread.
D5611 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5611?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $86.10. Louisiana pays the most ($211.53) and California the least ($40.00 per percent of SMA).
Which state pays the highest Medicaid rate for D5611?
Louisiana, at $211.53, effective 2025-04-21.
Do managed-care plans pay the same rate for D5611?
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.