G0104 Medicaid reimbursement rate by state (2026)
Colorectal cancer screening; flexible sigmoidoscopy. Medicaid pays a median of $116.53 for G0104 across 30 states, from $5.61 in Colorado to $332.48 in Alaska.
- States publishing
- 30
- National median
- $116.53units vary by state
- Lowest
- $5.61Colorado
- Highest
- $332.48Alaska
What does Medicaid pay for G0104?
30 state Medicaid programs publish a fee-for-service rate for G0104. The national median is $116.53 (units differ between states). Alaska pays the most, $332.48, and Colorado the least, $5.61, a 59.3x spread.
Medicare (non-facility, 2026 physician fee schedule): $188.27–$257.17 depending on the state's Medicare locality.
G0104 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0104?
It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $116.53. Alaska pays the most ($332.48) and Colorado the least ($5.61).
Which state pays the highest Medicaid rate for G0104?
Alaska, at $332.48, effective 2026-07-01.
Do managed-care plans pay the same rate for G0104?
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.