G0405 Medicaid reimbursement rate by state (2026)
Electrocardiogram, routine ecg with 12 leads. Medicaid pays a median of $6.73 for G0405 across 8 states, from $2.08 in Kansas to $11.74 in Montana.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- National median
- $6.73units vary by state
- Lowest
- $2.08Kansas
- Highest
- $11.74Montana
What does Medicaid pay for G0405?
8 state Medicaid programs publish a fee-for-service rate for G0405 at the physician psychologist level. The national median is $6.73 (units differ between states). Montana pays the most, $11.74, and Kansas the least, $2.08, a 5.6x spread.
Medicare (non-facility, 2026 physician fee schedule): $7.96–$9.11 depending on the state's Medicare locality.
G0405 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0405?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $6.73. Montana pays the most ($11.74) and Kansas the least ($2.08).
Which state pays the highest Medicaid rate for G0405?
Montana, at $11.74, effective 2026-07-01.
Do managed-care plans pay the same rate for G0405?
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.