Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for G2211. 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
$29/mo after the trial. Cancel anytime.
Publishing states
14
Median % of Medicare
85.4%
Rate range
$9.32 - $21.80
G2211 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| District of Columbia | $15.24 | 87.7% | Not required | 2026 |
| Delaware | $16.94 | 97.5% | -- | 2026 |
| Hawaii | $16.71 | 96.2% | -- | 2025 |
| Iowa | $14.67 | 84.5% | -- | 2024 |
| Idaho | $15.90 | 91.5% | Not required | 2026 |
| Kansas | $13.01 | 74.9% | -- | 2025 |
| Montana | $21.80 | 125.5% | -- | 2026 |
| New Hampshire | $9.32 | 53.7% | Not required | 2026 |
| New Jersey | $13.98 | 80.5% | Not required | 2026 |
| New Mexico | $16.00 | 92.1% | -- | 2024 |
| New York | $14.83 | 85.4% | -- | 2026 |
| Oregon | $13.97* | 80.4% | -- | 2026 |
| West Virginia | $12.20 | 70.2% | -- | 2026 |
| Wyoming | $13.82* | 79.6% | -- | 2025 |
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 17 codes from G2010 to G2252 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for G2211?
14 state Medicaid programs publish a fee-for-service rate for 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)), ranging from $9.32 in New Hampshire to $21.80 in Montana, with a median of 85.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for G2211?
Montana publishes the highest Medicaid rate for G2211 at $21.80 (125.5% of the national Medicare amount). New Hampshire publishes the lowest at $9.32.
Does G2211 require prior authorization under Medicaid?
No publishing state flags G2211 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.