G0556 Medicaid reimbursement rate by state (2026)
Advanced primary care management services for a patient with.... Medicaid pays a median of $12.85 for G0556 across 6 states, from $9.25 in Ohio to $23.01 in Montana.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- National median
- $12.85units vary by state
- Lowest
- $9.25Ohio
- Highest
- $23.01Montana
What does Medicaid pay for G0556?
6 state Medicaid programs publish a fee-for-service rate for G0556 at the physician psychologist level. The national median is $12.85 (units differ between states). Montana pays the most, $23.01, and Ohio the least, $9.25, a 2.5x spread.
Medicare (non-facility, 2026 physician fee schedule): $15.73–$17.14 depending on the state's Medicare locality.
G0556 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.
Frequently asked questions
What does Medicaid pay for G0556?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $12.85. Montana pays the most ($23.01) and Ohio the least ($9.25).
Which state pays the highest Medicaid rate for G0556?
Montana, at $23.01, effective 2026-07-01.
Do managed-care plans pay the same rate for G0556?
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.