G0477 Medicaid reimbursement rates by state
Physical therapy. 6 state Medicaid programs publish a fee-for-service rate for G0477 at the therapist pt level. Rates run from $8.92 in Hawaii to $101.39 in Texas, with a median of $9.35.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $9.35units vary by state
- Highest
- $101.39Texas
- Medicare (non-facility)
- —not on the physician fee schedule
G0477 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 |
|---|---|---|---|---|---|---|
| TexasPhysical therapist · Texas Medicaid nursing facility (HHSC statewide rates) | $101.39since 2021-09-01 | unit | — | Paid by the state, outside plans | — | HHSC PFD NF rehabilitative and specializ |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $10.00since 2016-01-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $9.77since 2023-07-01 | — | — | Plans negotiate; applies out of network | — | 2026 Fee Schedule - Covered Procedures R |
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $8.92since 2016-01-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $8.92since 2016-01-01 | — | — | Plans negotiate; applies out of network | — | Administrative Bulletin 16-07: CPT/HCPCS |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $8.92since 2024-03-04 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
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 G0477?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $9.35. Texas pays the most ($101.39 per unit) and Hawaii the least ($8.92).
Which state pays the highest Medicaid rate for G0477?
Texas, at $101.39 per unit, effective 2021-09-01.
Do managed-care plans pay the same rate for G0477?
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.