G0235 Medicaid reimbursement rates by state
Pet imaging, any site, not otherwise specified. 7 state Medicaid programs publish a fee-for-service rate for G0235. Rates run from $4.47 in Iowa to $220.34 in Montana, with a median of $187.41.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $187.41units vary by state
- Highest
- $220.34Montana
- Medicare (non-facility)
- —not on the physician fee schedule
G0235 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) | $220.34since 2026-01-01 | — | — | Not classified | — | Montana Healthcare Programs ASC Covered |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $215.08since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid ASC fee schedule (2026ASCFee |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $209.32since 2026-01-01 | — | — | Not classified | — | Arkansas Medicaid CY2026 Ambulatory Surg |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $187.41since 2026-07-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $115.24since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $4.47since 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) | $4.47since 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 G0235?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $187.41. Montana pays the most ($220.34) and Iowa the least ($4.47).
Which state pays the highest Medicaid rate for G0235?
Montana, at $220.34, effective 2026-01-01.
Do managed-care plans pay the same rate for G0235?
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.