A0420 Medicaid reimbursement rates by state
Ambulance waiting time (als or bls), one half. 20 state Medicaid programs publish a fee-for-service rate for A0420. Rates run from $1.00 in Virginia to $95.00 in Maine, with a median of $19.67.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 20
- Median rate
- $19.67units vary by state
- Highest
- $95.00Maine
- Medicare (non-facility)
- —not on the physician fee schedule
A0420 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $95.00⚠ over 3× mediansince 2023-01-01 | — | — | Not classified | — | MaineCare Section 5 - Ambulance Services |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $91.15⚠ over 3× mediansince 2020-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Other Ground Emergency Transp |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $37.47since 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $36.88since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, J |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $32.85since 2023-07-01 | — | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $27.02since 2001-05-01 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $26.66since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $23.02since 2024-07-01 | — | — | Not classified | — | CMAP fee schedule: Transportation - Basi |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $19.99since 2024-01-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $19.76since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $19.58since 2018-09-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $18.44since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $12.50since 1995-01-01 | — | — | Paid by the state, outside plans | — | RI Medicaid Interactive Fee For Service |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $10.07since 2018-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $9.16since 2011-07-11 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $6.25since 1995-01-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $5.17since 2009-05-25 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $4.24since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $2.50since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for A0420?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $19.67. Maine pays the most ($95.00) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for A0420?
Maine, at $95.00, effective 2023-01-01.
Do managed-care plans pay the same rate for A0420?
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 table shows the rule for each state, cited to the contract or statute.
Related Transportation codes
A0429Ambulance service, basic life support, emergency transport · 45 statesA0428Ambulance service, basic life support · 44 statesA0425Ground mileage, per statute mile · 43 statesA0427Ambulance service, advanced life support · 43 statesA0431Ambulance service, conventional air services, transport · 43 statesA0426Ambulance service, advanced life support · 40 statesA0430Ambulance service, conventional air services, transport · 39 statesA0436Rotary wing air mileage, per statute mile · 39 statesA0433Advanced life support, level 2 (als 2) · 37 statesA0435Fixed wing air mileage, per statute mile · 36 statesA0434Specialty care transport (sct) · 33 statesT2003Non-emergency transportation; encounter/trip · 31 states
Track A0420 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.