G3003 Medicaid reimbursement rates by state
Each additional 15 minutes of chronic pain management and.... 10 state Medicaid programs publish a fee-for-service rate for G3003 at the physician psychologist level. Rates run from $5.58 in Kansas to $44.60 in Montana, with a median of $23.36.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $23.36per 15 min
- Highest
- $44.60Montana
- Medicare (non-facility)
- $29.59–$33.052026 physician fee schedule
G3003 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 |
|---|---|---|---|---|---|---|
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $44.60since 2026-07-01 | 15 min | $178.40 | Not classified | — | Montana Healthcare Programs fee schedule |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $28.91since 2025-01-01 | 15 min | $115.64 | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $25.73since 2026-07-01 | 15 min | $102.92 | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $25.33since 2026-02-01 | 15 min | $101.32 | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $23.67since 2026-02-01 | 15 min | $94.68 | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $23.05since 2024-01-01 | 15 min | $92.20 | Plans must pay at least this | — | Iowa Medicaid fee schedule #02 PHYSICIAN |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $21.75since 2023-01-01 | 15 min | $87.00 | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $21.74since 2026-01-01 | 15 min | $86.96 | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $21.05since 2024-03-01 | 15 min | $84.20 | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $5.58since 2023-01-01 | 15 min | $22.32 | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 G3003?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $23.36 per 15 min. Montana pays the most ($44.60 per 15 min) and Kansas the least ($5.58 per 15 min).
Which state pays the highest Medicaid rate for G3003?
Montana, at $44.60 per 15 min ($178.40 per hour), effective 2026-07-01.
Do managed-care plans pay the same rate for G3003?
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.