G0313 Medicaid reimbursement rate by state (2026)
Immunization counseling by a physician or other qualified.... Medicaid pays a median of $39.90 for G0313 across 25 states, from $13.00 in Alabama to $147.78 in Idaho.
- States publishing
- 25
- National median
- $39.90units vary by state
- Lowest
- $13.00Alabama
- Highest
- $147.78Idaho
What does Medicaid pay for G0313?
25 state Medicaid programs publish a fee-for-service rate for G0313. The national median is $39.90 (units differ between states). Idaho pays the most, $147.78, and Alabama the least, $13.00, a 11.4x spread.
G0313 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 25 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0313?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $39.90. Idaho pays the most ($147.78) and Alabama the least ($13.00).
Which state pays the highest Medicaid rate for G0313?
Idaho, at $147.78, effective 2025-09-01.
Do managed-care plans pay the same rate for G0313?
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.