G0554 Medicaid Fee Schedule Rates by State
Compare G0554 (Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month) across covered Medicaid fee-for-service physician schedules. Comparable rankings use unmodified non-facility rates; provider, program, and modifier-specific fees appear as labeled ranges or separate choices.
These are agency-published fee-for-service amounts, not managed-care contracted rates or a guarantee of payment. The free view shows all covered jurisdictions for 20 common codes, including 99213, 99214, 99203 and up to 8 jurisdictions for other published codes.
G0554 Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month 2 jurisdictions shown - every covered jurisdiction that prices it
Medicaid rate by state
- Comparable rates shown
- 1
- Shown lowest
- $55.81
- Shown median
- $55.81
- Shown highest
- $55.81
Ranked by rate
shown median $55.81- MT$55.81
Hatched states are not shown here. Flat grey means no single comparable rate is available for G0554.
Rate history for one state
Select a state on the map to see how its rate has moved - the platform holds 195 published periods back to 2001. Not part of the free view.
The table behind this panel shows the fields available in historical schedules; it does not display synthetic dates or rates. The real history, every published schedule back to 2001 for all 17,674 codes, is in the platform.
Book a 15-min Medicaid walkthroughThe 1 jurisdiction shown in full
| Jurisdiction | Prior auth | Non-facility rate |
|---|---|---|
| MontanaJul 1, 2025 | Not required | $55.81 |
Rates by provider, program, modifier, or setting
Check the rate type, modifiers, and place of service before using an amount. These amounts are not interchangeable.
| Jurisdiction | Rate type | Modifiers | Non-facility rate | Facility rate |
|---|---|---|---|---|
| California | Medicine (Physician) | None | $34.57 | $34.57 |
Labels summarize each state's published rate context. Provider specialty lists, place-of-service lists and adjustment codes are in the full dataset. See the full context in the platform
Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.
Every state that prices G0554 is shown above
The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.
Compare this state-published Medicaid fee-for-service amount with the negotiated commercial rates payers have published for the same code.
G0554 Medicaid vs. Medicare vs. commercial
- Medicare · 2026 national, non-facility
- $41.417
- Commercial national average · Mean of 3 national payers
- $38.28755492% of Medicare
The commercial national average is the mean of what BCBS, UnitedHealthcare and Aetna publish nationwide: BCBS $43.95653, UnitedHealthcare $46.109319, Aetna $24.796812. Not averaged: Cigna ($177.051898), too far from the other payers' figures, which usually means a different billing unit.
Medicaid figures are unmodified non-facility fee-for-service rates; Medicare's is the national amount before geographic adjustment. The commercial figure is a national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for G0554 across the country, and contracted rates vary widely by market, provider and plan.
No comparable statewide physician fee schedule is available for Tennessee. Why.
Methodology
Each jurisdiction's published Medicaid fee-for-service physician schedule is downloaded at the source, parsed, and normalized into a shared schema of jurisdiction, effective period, rate type, code, modifier, non-facility rate, and facility rate. Rates are carried through unchanged - no averaging, interpolation, or cross-jurisdiction adjustment is applied. Where a program publishes a single rate for both settings, the same value appears in both columns. Managed-care contracts, eligibility, coverage rules, modifiers not shown, and claim-specific adjustments can produce different payment.
Medicaid benefits and coverage at Medicaid.gov