G0558 Medicaid reimbursement rate by state (2026)
Advanced primary care management services for a patient that.... Medicaid pays a median of $90.94 for G0558 across 8 states, from $60.13 in Kansas to $164.79 in Montana.
- States publishing
- 8
- National median
- $90.94units vary by state
- Lowest
- $60.13Kansas
- Highest
- $164.79Montana
What does Medicaid pay for G0558?
8 state Medicaid programs publish a fee-for-service rate for G0558. The national median is $90.94 (units differ between states). Montana pays the most, $164.79, and Kansas the least, $60.13, a 2.7x spread.
Medicare (non-facility, 2026 physician fee schedule): $109.73–$123.48 depending on the state's Medicare locality.
G0558 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0558?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $90.94. Montana pays the most ($164.79) and Kansas the least ($60.13).
Which state pays the highest Medicaid rate for G0558?
Montana, at $164.79, effective 2026-07-01.
Do managed-care plans pay the same rate for G0558?
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.