C8004 Medicaid reimbursement rates by state
Simulation angiogram with use of a pressure-generating.... 10 state Medicaid programs publish a fee-for-service rate for C8004. Rates run from $129.02 in Iowa to $7,438.31 in Montana, with a median of $6,255.34.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $6,255.34units vary by state
- Highest
- $7,438.31Montana
- Medicare (non-facility)
- —not on the physician fee schedule
C8004 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 |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $7,438.31since 2026-01-01 | — | — | Not classified | — | Montana Healthcare Programs ASC Covered |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $7,066.39since 2026-01-01 | — | — | Not classified | — | Arkansas Medicaid CY2026 Ambulatory Surg |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $7,009.97since 2025-04-01 | — | — | Plans must pay at least this | — | Ambulatory Surgical Center Codes (NM Med |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $6,605.45since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Ambulatory Su |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $6,322.56since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Administrative Bulletin 26-16: 101 CMR 3 |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $6,188.11since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Final Ambulatory Surgery Center R |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $3,890.24since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $1,752.49since 2025-04-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Amb Surgical Cente |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $129.02since 2026-01-01 | — | — | Not classified | — | CMAP Addendum B - OPPS Payment Type by P |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $129.02since 2026-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-Janaury) |
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 C8004?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $6,255.34. Montana pays the most ($7,438.31) and Iowa the least ($129.02).
Which state pays the highest Medicaid rate for C8004?
Montana, at $7,438.31, effective 2026-01-01.
Do managed-care plans pay the same rate for C8004?
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.