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Rates through October 2026State-published files · No login required

G2211 Medicaid Fee Schedule Rates by State

Compare G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, 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.

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Current, state-published Medicaid fee-for-service rates; managed-care contracts are not included.See complete Medicaid history for G2211

G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established) 8 jurisdictions shown, more may be in the platform

Medicaid rate by state

G22118 jurisdictions shown, more may be in the platform
Rates shown
8
Shown lowest
$9.32
Shown median
$14.90
Shown highest
$16.94
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: $16.94, 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: $15.87, effective June 2026Iowa: $13.93 (median of $12.47 to $14.67 by rate type), effective September 2026Idaho: $15.90, effective October 2026Illinois: not shown here - Illinois's full fee schedule is in the platformIndiana: not shown here - Indiana's full fee schedule is in the platformKansas: $13.01, effective October 2026Kentucky: 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: $16.76, effective September 2026Maine: not shown here - Maine's full fee schedule is in the platformMichigan: not shown here - Michigan's full fee schedule is in the platformMinnesota: 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: not shown here - Montana's full fee schedule is in the platformNorth 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: $9.32, effective July 2026New Jersey: not shown here - New Jersey's full fee schedule is in the platformNew 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: not shown here - Ohio's full fee schedule is in the platformOklahoma: not shown here - Oklahoma's full fee schedule is in the platformOregon: $13.90, 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 platformAKALARAZCACOFLGAIAID$15.90ILINKS$13.01KYLAMEMIMNMOMSMTNCNDNENMNVNYOHOKOR$13.90PASCSDTN!TXUTVAWAWIWVWY
Small states:CTDCDE$16.94HI$15.87MAMD$16.76NH$9.32NJRIVT
No published rateNot shown hereNot loaded yetNo schedule published

Ranked by rate

shown median $14.90
  1. DE$16.94
  2. MD$16.76
  3. ID$15.90
  4. HI$15.87
  5. IA$13.93
  6. OR$13.90
  7. KS$13.01
  8. NH$9.32

Hatched states are not shown here. Flat grey means no single comparable rate is available for G2211.

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.

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The 8 jurisdictions shown in full

JurisdictionPrior authNon-facility rate
DelawareJanuary 2026Not published$16.94
MarylandSeptember 2026Not required$16.76
IdahoJul 1, 2026Not required$15.90
HawaiiJune 2026Not published$15.87
IowaNov 1, 2024
$12.47 to $14.67 across 5 rate types
General
$14.67
Provider type 03
$14.67
Provider type 38
$13.93
Provider type 68
$12.74
Provider type 50
$12.47
Not published$13.93median across rate types
OregonFeb 1, 2026Not published$13.90
KansasApr 1, 2025Not published$13.01
New HampshireApr 1, 2025Not required$9.32

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

More states may price G2211 than are shown here

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

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G2211 Medicaid vs. Medicare vs. commercial

Medicaid · Median of the 8 state rates shown here
$14.9086% of Medicare
Medicare · 2026 national, non-facility
$17.368
Commercial national average · Mean of 3 national payers
$19.413623112% of Medicare

The commercial national average is the mean of what BCBS, UnitedHealthcare and Cigna publish nationwide: BCBS $19.1833, UnitedHealthcare $21.629256, Cigna $17.428312. Not averaged: Aetna ($3.688433), 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 G2211 across the country, and contracted rates vary widely by market, provider and plan.

See commercial rates in your stateSee G2211 Medicare ratesCommercial rates for G2211

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.