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G0314 Medicaid reimbursement rates by state

Immunization counseling by a physician or other qualified.... 24 state Medicaid programs publish a fee-for-service rate for G0314 at the physician psychologist level. Rates run from $13.00 in Alabama to $189.96 in Idaho, with a median of $42.02.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
24
Median rate
$42.02units vary by state
Highest
$189.96Idaho
Medicare (non-facility)
—not on the physician fee schedule

G0314 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$189.96⚠ over 3× mediansince 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$71.30since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$57.61since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$56.10since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$55.06since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$54.34since 2022-05-11——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$50.75since 2021-12-02——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$47.79since 2022-05-11——Plans must pay at least this—Provider Type 17, Specialty 166, Special
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$46.30since 2025-04-21——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$46.05since 2023-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$44.94since 2023-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$44.20since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$39.83since 2024-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$35.81since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$35.37since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$33.26since 2023-04-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$30.65since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$29.22since 2021-04-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$29.06since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$24.13since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$20.00since 2022-05-11——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$19.38since 2024-12-01——Not classified—NJMMIS Procedure Master Listing children
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$18.39since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$13.00since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 G0314?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $42.02. Idaho pays the most ($189.96) and Alabama the least ($13.00).

Which state pays the highest Medicaid rate for G0314?

Idaho, at $189.96, effective 2025-09-01.

Do managed-care plans pay the same rate for G0314?

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.

Related Physician & professional codes

Track G0314 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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