G0557 Medicaid reimbursement rate by state (2026)
Advanced primary care management services for a patient with.... Medicaid pays a median of $41.72 for G0557 across 7 states, from $27.96 in Ohio to $75.59 in Montana.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- National median
- $41.72units vary by state
- Lowest
- $27.96Ohio
- Highest
- $75.59Montana
What does Medicaid pay for G0557?
7 state Medicaid programs publish a fee-for-service rate for G0557 at the physician psychologist level. The national median is $41.72 (units differ between states). Montana pays the most, $75.59, and Ohio the least, $27.96, a 2.7x spread.
Medicare (non-facility, 2026 physician fee schedule): $51.49–$56.69 depending on the state's Medicare locality.
G0557 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0557?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $41.72. Montana pays the most ($75.59) and Ohio the least ($27.96).
Which state pays the highest Medicaid rate for G0557?
Montana, at $75.59, effective 2026-07-01.
Do managed-care plans pay the same rate for G0557?
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.