Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for G0481. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
40
Median % of Medicare
82.2%
Rate range
$38.13 - $234.89
G0481 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $156.59 | 100% | -- | 2026 |
| Alabama | $109.61 | -- | -- | 2026 |
| Arizona | $156.59 | 100% | -- | 2026 |
| California | $98.39 | 62.8% | -- | 2026 |
| Connecticut | $38.13 | 24.4% | -- | 2016 |
| District of Columbia | $125.27 | 80% | Not required | 2018 |
| Delaware | $153.46 | 98% | -- | 2026 |
| Georgia | $128.79 | 82.2% | -- | 2026 |
| Hawaii | $73.79 | 47.1% | -- | 2025 |
| Iowa | $102.45 | 65.4% | -- | 2024 |
| Idaho | $135.29 | 86.4% | Not required | 2025 |
| Illinois | $106.65 | 68.1% | -- | 2024 |
| Indiana | $156.59 | 100% | -- | 2024 |
| Kentucky | $156.59 | 100% | -- | 2026 |
| Louisiana | $133.10 | 85% | -- | 2026 |
| Massachusetts | $91.84 | 58.6% | -- | 2024 |
| Maine | $112.69 | 72% | -- | 2026 |
| Michigan | $129.66 | 82.8% | -- | 2026 |
| Minnesota | $156.59 | 100% | -- | 2018 |
| Missouri | $140.93 | -- | Not required | 2026 |
| Mississippi | $140.93 | 90% | -- | 2026 |
| Montana | $156.58 | 100% | -- | 2026 |
| North Carolina | $111.92 | 71.5% | -- | 2025 |
| North Dakota | $156.59 | 100% | Not required | 2026 |
| Nebraska | $156.59 | 100% | -- | 2026 |
| New Hampshire | $80.79 | 51.6% | Not required | 2026 |
| New Jersey | $125.27 | 80% | Not required | 2026 |
| New Mexico | $234.89 | 150% | -- | 2025 |
| Nevada | $122.68 | 78.3% | -- | 2024 |
| Ohio | $117.44 | 75% | -- | 2021 |
| Oklahoma | $139.28 | 88.9% | -- | 2026 |
| Oregon | $125.27* | 80% | -- | 2026 |
| Pennsylvania | $98.39 | -- | -- | 2016 |
| Texas | $214.53* | 137% | -- | 2021 |
| Utah | $99.25* | 63.4% | Not required | 2018 |
| Virginia | $122.99 | 78.5% | -- | 2016 |
| Vermont | $152.68 | 97.5% | -- | 2026 |
| Washington | $80.96 | 51.7% | -- | 2026 |
| Wisconsin | $98.39 | 62.8% | -- | 2016 |
| West Virginia | $140.93 | 90% | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
All 136 codes from G0008 to G0659 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for G0481?
40 state Medicaid programs publish a fee-for-service rate for G0481 (drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed), ranging from $38.13 in Connecticut to $234.89 in New Mexico, with a median of 82.2% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for G0481?
New Mexico publishes the highest Medicaid rate for G0481 at $234.89 (150% of the national Medicare amount). Connecticut publishes the lowest at $38.13.
Does G0481 require prior authorization under Medicaid?
No publishing state flags G0481 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.