Skip to content

G0478 Medicaid reimbursement rate by state (2026)

Physical therapy. Medicaid pays a median of $11.89 for G0478 across 6 states, from $10.00 in Kansas to $101.39 in Texas.

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

States publishing
6
National median
$11.89units vary by state
Lowest
$10.00Kansas
Highest
$101.39Texas

What does Medicaid pay for G0478?

6 state Medicaid programs publish a fee-for-service rate for G0478 at the therapist pt level. The national median is $11.89 (units differ between states). Texas pays the most, $101.39 per unit, and Kansas the least, $10.00, a 10.1x spread.

G0478 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2021-09-01$101.39unit—Paid by the state, outside plans—
2New Hampshire Source · since 2023-07-01$13.02——Plans negotiate; applies out of network—
3Rhode Island Source · since 2016-01-01$11.89——Plans negotiate; applies out of network—
6Kansas Source · since 2016-01-01$10.00——Not classified—
See all 6 states for G0478 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G0478 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for G0478?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $11.89. Texas pays the most ($101.39 per unit) and Kansas the least ($10.00).

Which state pays the highest Medicaid rate for G0478?

Texas, at $101.39 per unit, effective 2021-09-01.

Do managed-care plans pay the same rate for G0478?

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.