G0479 Medicaid reimbursement rates by state
Drug test(s), presumptive, any number of drug classes. 5 state Medicaid programs publish a fee-for-service rate for G0479. Rates run from $10.00 in Kansas to $52.06 in New Hampshire, with a median of $47.55.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $47.55units vary by state
- Highest
- $52.06New Hampshire
- Medicare (non-facility)
- —not on the physician fee schedule
G0479 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 |
|---|---|---|---|---|---|---|
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $52.06since 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) | $47.55since 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) | $47.55since 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 | $47.55since 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) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $10.00since 2016-01-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0479?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $47.55. New Hampshire pays the most ($52.06) and Kansas the least ($10.00).
Which state pays the highest Medicaid rate for G0479?
New Hampshire, at $52.06, effective 2023-07-01.
Do managed-care plans pay the same rate for G0479?
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.