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G2211 Medicaid reimbursement rates by state

Physical therapy. 8 state Medicaid programs publish a fee-for-service rate for G2211 at the physician psychologist level. Rates run from $11.89 in New Jersey to $76.43 in Texas, with a median of $14.75.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
8
Median rate
$14.75units vary by state
Highest
$76.43Texas
Medicare (non-facility)
$16.48–$19.722026 physician fee schedule

G2211 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
TexasPhysical therapist · Texas Community Living Assistance and Support Services (CLASS) waiver$76.43since 2025-09-01hour$76.43Paid by the state, outside plans—HHSC PFD CLASS payment rates (9-1-2025-c
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$16.76since 2026-01-01——Plans must pay at least this—Maryland Medicaid Professional Services
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$16.00since 2024-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$14.83since 2026-04-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$14.67since 2024-02-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$13.90since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$13.01since 2025-04-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$11.89since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 G2211?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $14.75. Texas pays the most ($76.43 per hour) and New Jersey the least ($11.89).

Which state pays the highest Medicaid rate for G2211?

Texas, at $76.43 per hour ($76.43 per hour), effective 2025-09-01.

Do managed-care plans pay the same rate for G2211?

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.

Related Therapy (PT/OT/speech) codes

Track G2211 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state