G0120 Medicaid reimbursement rates by state
Colorectal cancer screening; alternative to g0105. 5 state Medicaid programs publish a fee-for-service rate for G0120 at the independent level. Rates run from $0.2706 in Arizona to $151.48 in New Mexico, with a median of $81.14.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $81.14units vary by state
- Highest
- $151.48New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
G0120 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 |
|---|---|---|---|---|---|---|
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $151.48since 2023-07-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| MichiganIndependent (non-agency) provider · Michigan Medicaid (fee-for-service) | $102.45since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Independent Diagnostic Testing Fac |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $81.14since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $73.23since 2024-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2024-2025 Rate |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $0.2706since 2024-10-01 | P | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
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 G0120?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $81.14. New Mexico pays the most ($151.48) and Arizona the least ($0.2706 per P).
Which state pays the highest Medicaid rate for G0120?
New Mexico, at $151.48, effective 2023-07-01.
Do managed-care plans pay the same rate for G0120?
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.