G0506 Medicaid reimbursement rates by state
Comprehensive assessment of and care planning for patients.... 10 state Medicaid programs publish a fee-for-service rate for G0506 at the physician psychologist level. Rates run from $11.08 in Kansas to $1,201.41 in Wisconsin, with a median of $48.56.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $48.56units vary by state
- Highest
- $1,201.41Wisconsin
- Medicare (non-facility)
- $62.07–$84.382026 physician fee schedule
G0506 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 |
|---|---|---|---|---|---|---|
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $1,201.41⚠ over 3× mediansince 2022-01-01 | — | — | Paid by the state, outside plans | — | ForwardHealth interactive max fee schedu |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $1,000.00⚠ over 3× mediansince 2025-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Children with Medical Complexity T |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $57.90since 2019-07-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee-for-Service Fee |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $56.97since 2026-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Enhanced Professional |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $55.57since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $41.55since 2024-01-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $40.82since 2017-01-01 | — | — | Plans must pay at least this | — | Provider Type 77 Physician's Assistant R |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $39.41since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $19.21since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $11.08since 2017-01-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G0506?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $48.56. Wisconsin pays the most ($1,201.41) and Kansas the least ($11.08).
Which state pays the highest Medicaid rate for G0506?
Wisconsin, at $1,201.41, effective 2022-01-01.
Do managed-care plans pay the same rate for G0506?
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.