PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Rates through October 2026State-published files · No login required

G0559 Medicaid Fee Schedule Rates by State

Compare G0559 (Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)) 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.

Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for G0559

G0559 Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established) 7 jurisdictions shown - every covered jurisdiction that prices it

Medicaid rate by state

G05597 jurisdictions shown - every covered jurisdiction that prices it
Rates shown
7
Shown lowest
$4.09
Shown median
$7.61
Shown highest
$12.22
Alaska: not shown here - Alaska's full fee schedule is in the platformAlabama: not shown here - Alabama's full fee schedule is in the platformArkansas: not shown here - Arkansas's full fee schedule is in the platformArizona: not shown here - Arizona's full fee schedule is in the platformCalifornia: not shown here - California's full fee schedule is in the platformColorado: not shown here - Colorado's full fee schedule is in the platformConnecticut: not shown here - Connecticut's full fee schedule is in the platformDistrict of Columbia: not shown here - District of Columbia's full fee schedule is in the platformDelaware: $9.38, effective January 2026Florida: not shown here - Florida's full fee schedule is in the platformGeorgia: not shown here - Georgia's full fee schedule is in the platformHawaii: $8.69, effective June 2026Iowa: not shown here - Iowa's full fee schedule is in the platformIdaho: not shown here - Idaho's full fee schedule is in the platformIllinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: not shown here - Kansas's full fee schedule is in the platformKentucky: not shown here - Kentucky's full fee schedule is in the platformLouisiana: not shown here - Louisiana's full fee schedule is in the platformMassachusetts: not shown here - Massachusetts's full fee schedule is in the platformMaryland: not shown here - Maryland's full fee schedule is in the platformMaine: not shown here - Maine's full fee schedule is in the platformMichigan: $6.18, effective September 2026Minnesota: not shown here - Minnesota's full fee schedule is in the platformMissouri: not shown here - Missouri's full fee schedule is in the platformMississippi: not shown here - Mississippi's full fee schedule is in the platformMontana: $12.22, effective January 2026North Carolina: not shown here - North Carolina's full fee schedule is in the platformNorth Dakota: not shown here - North Dakota's full fee schedule is in the platformNebraska: not shown here - Nebraska's full fee schedule is in the platformNew Hampshire: not shown here - New Hampshire's full fee schedule is in the platformNew Jersey: $4.09 (median of $3.76 to $4.42 by rate type), effective July 2026New Mexico: not shown here - New Mexico's full fee schedule is in the platformNevada: not shown here - Nevada's full fee schedule is in the platformNew York: not shown here - New York's full fee schedule is in the platformOhio: $6.76, effective January 2026Oklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: $7.61, effective September 2026Pennsylvania: not shown here - Pennsylvania's full fee schedule is in the platformRhode Island: not shown here - Rhode Island's full fee schedule is in the platformSouth Carolina: not shown here - South Carolina's full fee schedule is in the platformSouth Dakota: not shown here - South Dakota's full fee schedule is in the platformTexas: not shown here - Texas's full fee schedule is in the platformUtah: not shown here - Utah's full fee schedule is in the platformVirginia: not shown here - Virginia's full fee schedule is in the platformVermont: not shown here - Vermont's full fee schedule is in the platformWashington: not shown here - Washington's full fee schedule is in the platformWisconsin: not shown here - Wisconsin's full fee schedule is in the platformWest Virginia: not shown here - West Virginia's full fee schedule is in the platformWyoming: not shown here - Wyoming's full fee schedule is in the platformAKALARAZCACOFLGAIAIDILINKSKYLAMEMIMNMOMSMT$12.22NCNDNENMNVNYOHOKOR$7.61PASCSDTN!TXUTVAWAWIWVWY
Small states:CTDCDE$9.38HI$8.69MAMDNHNJ$4.09RIVT
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $7.61
  1. MT$12.22
  2. DE$9.38
  3. HI$8.69
  4. OR$7.61
  5. OH$6.76
  6. MI$6.18
  7. NJ$4.09

Hatched states are not shown here. Flat grey means no single comparable rate is available for G0559.

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.

Historical rates are part of the platform

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 walkthrough

The 7 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
MontanaJul 1, 2025Not required$12.22
DelawareJanuary 2026Not published$9.38
HawaiiJune 2026Not published$8.69
OregonFeb 1, 2026Not published$7.61
OhioJan 1, 2025Not published$6.76
MichiganSeptember 2026Not published$6.18
New JerseyJul 1, 2026
$3.76 to $4.42 across 4 rate types
Children Specialist or Purchase
$4.42
Fee Specialist or Purchase
$4.42
Children Non Specialist or Rental
$3.76
Fee Non Specialist or Rental
$3.76
Not published$4.09median across rate types

Comparable figures use unmodified non-facility rows. California provider rates and exact modifier tuples are listed separately where published.

Every state that prices G0559 is shown above

The platform includes every schedule period published since 2001, plus the section, modifier and facility detail behind each rate.

Book a demo to see all 50 jurisdictions

G0559 Medicaid vs. Medicare vs. commercial

Medicaid · Median of the 7 state rates shown here
$7.6179% of Medicare
Medicare · 2026 national, non-facility
$9.686
Commercial national average · Mean of 4 national payers
$10.438118108% of Medicare

The commercial national average is the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide: BCBS $12.666906, UnitedHealthcare $9.114596, Aetna $9.860586, Cigna $10.110384.

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 G0559 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
Looking for Medicare rates? Search the Medicare fee schedule.