T2004 Medicaid reimbursement rates by state
Non-emergency transport; commercial carrier, multi-pass. 6 state Medicaid programs publish a fee-for-service rate for T2004. Rates run from $1.00 in Virginia to $105.00 in Utah, with a median of $27.03.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $27.03units vary by state
- Highest
- $105.00Utah
- Medicare (non-facility)
- —not on the physician fee schedule
T2004 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 |
|---|---|---|---|---|---|---|
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $105.00since 2016-07-01 | — | — | Not classified | — | Utah Medicaid Coverage and Reimbursement |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $36.36since 2011-04-27 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Children's Long-Term Support (CLTS) Waiver (fee-for-service, statewide uniform rate schedule) | $28.14since 2025-01-01 | 1 trip | — | Paid by the state, outside plans | — | CLTS Waiver Statewide Uniform Rate Sched |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $25.92since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $6.36since 2026-01-01 | unit | — | Not classified | — | IHCP Professional Fee Schedule (Last Upd |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
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 T2004?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $27.03. Utah pays the most ($105.00) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for T2004?
Utah, at $105.00, effective 2016-07-01.
Do managed-care plans pay the same rate for T2004?
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.