D5931 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $939.57 for D5931 across 12 states, from $40.00 in California to $1,790.59 in Colorado.
- States publishing
- 12
- National median
- $939.57units vary by state
- Lowest
- $40.00California
- Highest
- $1,790.59Colorado
What does Medicaid pay for D5931?
12 state Medicaid programs publish a fee-for-service rate for D5931. The national median is $939.57 (units differ between states). Colorado pays the most, $1,790.59, and California the least, $40.00 per percent of SMA, a 44.8x spread.
D5931 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5931?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $939.57. Colorado pays the most ($1,790.59) and California the least ($40.00 per percent of SMA).
Which state pays the highest Medicaid rate for D5931?
Colorado, at $1,790.59, effective 2026-07-01.
Do managed-care plans pay the same rate for D5931?
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.