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Billing code G9488 · Physician & professional

G9488 Medicaid reimbursement rate by state (2026)

Remote in-home visit for the evaluation and management of an.... Medicaid pays a median of $48.88 for G9488 across 5 states, from $0.40 in Kansas to $77.00 in Montana.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$48.88units vary by state
Lowest
$0.40Kansas
Highest
$77.00Montana
Answer

What does Medicaid pay for G9488?

5 state Medicaid programs publish a fee-for-service rate for G9488. The national median is $48.88 (units differ between states). Montana pays the most, $77.00, and Kansas the least, $0.40, a 192.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $52.46–$54.77 depending on the state's Medicare locality.

State ranking

G9488 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$77.00——Not classified—
2Hawaii Source · since 2026-06-01$51.24——Plans negotiate; applies out of network—
3Virginia Source · since 2017-01-01$48.88——Plans negotiate; applies out of network—
See all 5 states for G9488 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G9488 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for G9488?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $48.88. Montana pays the most ($77.00) and Kansas the least ($0.40).

Which state pays the highest Medicaid rate for G9488?

Montana, at $77.00, effective 2026-07-01.

Do managed-care plans pay the same rate for G9488?

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.