Medicaid Telehealth Rates: Which States Publish Them

Most states pay telehealth through parity policy: same code, same rate, any modality, nothing separate to publish. Just 11 states put explicit telehealth rates on their fee schedules. Here is what those look like next to the standard rate, and why the short list is the honest answer.

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District of Columbia231 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
90791Psychiatric diagnostic evaluation, no medical services93$150.61$150.61
90791Psychiatric diagnostic evaluation, no medical servicesGT$150.61$150.61
90792Psychiatric diagnostic evaluation with medical services93$176.36$176.36
90792Psychiatric diagnostic evaluation with medical servicesGT$176.36$176.36
90832Psychotherapy, 30 minutes93$74.45$74.45
90832Psychotherapy, 30 minutesGT$101.53$74.45
90833Psychotherapy, 30 minutes, added to an E&M visit93$71.02$71.02
90833Psychotherapy, 30 minutes, added to an E&M visitGT$81.23$71.02
90834Psychotherapy, 45 minutes93$98.82$98.82
90834Psychotherapy, 45 minutesGT$152.31$98.82
90836Psychotherapy, 45 minutes, added to an E&M visit93$89.94$89.94
90836Psychotherapy, 45 minutes, added to an E&M visitGT$121.84$89.94

Plus 219 more published telehealth rows in District of Columbia's full schedule.

South Carolina75 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
90791Psychiatric diagnostic evaluation, no medical servicesGT$117.29$117.29
90792Psychiatric diagnostic evaluation with medical servicesGT$131.58$131.58
90832Psychotherapy, 30 minutesGT$53.38$53.38
90834Psychotherapy, 45 minutesGT$70.42$70.42
90837Psychotherapy, 60 minutesGT$103.83$103.83
90846Family psychotherapy without the patient, 50 minutesGT$67.12$67.12
90847Family psychotherapy with the patient, 50 minutesGT$56.25$70.31
92507Speech, language, or voice treatment, individualGT$24.81$24.81
93010Electrocardiogram (ECG) interpretation and report onlyGT$5.42$5.42
93307Echocardiogram, complete, without DopplerGT$88.57$88.57
93308Echocardiogram, limited or follow-upGT$63.81$63.81
93320Doppler echocardiography, complete (add-on)GT$32.99$32.99

Plus 63 more published telehealth rows in South Carolina's full schedule.

Colorado47 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
76801--GT$107.90$102.82
76802--GT$71.25$66.17
76805Pregnancy ultrasound after first trimesterGT$123.76$118.68
76810--GT$100.81$95.73
76811--GT$195.69$190.61
76812--GT$172.02$166.94
76813--GT$121.85$116.77
76814--GT$81.61$76.53
76815Pregnancy ultrasound, limited or follow-upGT$85.40$80.32
76816--GT$100.85$95.77
76817Pregnancy ultrasound, transvaginalGT$93.01$87.93
90791Psychiatric diagnostic evaluation, no medical servicesGT$167.56$162.22

Plus 35 more published telehealth rows in Colorado's full schedule.

Wyoming31 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
90791Psychiatric diagnostic evaluation, no medical services95$185.88$149.47
90791Psychiatric diagnostic evaluation, no medical servicesGT$185.88$149.47
90832Psychotherapy, 30 minutes95$88.50$70.74
90832Psychotherapy, 30 minutesGT$88.50$70.74
90834Psychotherapy, 45 minutes95$132.75$93.37
90834Psychotherapy, 45 minutesGT$132.75$93.37
90837Psychotherapy, 60 minutes95$177.00$138.27
90837Psychotherapy, 60 minutesGT$177.00$138.27
90839Psychotherapy for crisis, first 60 minutes95$157.28$131.04
90839Psychotherapy for crisis, first 60 minutesGT$157.28$131.04
90840Psychotherapy for crisis, each added 30 minutesGT$79.64$64.68
90847Family psychotherapy with the patient, 50 minutes95$177.05$92.13

Plus 19 more published telehealth rows in Wyoming's full schedule.

Missouri15 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
99202Office visit, new patient, straightforward (15-29 min)GT$60.41$60.41
99203Office visit, new patient, low complexity (30-44 min)GT$92.91$92.91
99204Office visit, new patient, moderate complexity (45-59 min)GT$138.56$138.56
99205Office visit, new patient, high complexity (60-74 min)GT$183.27$183.27
99211Office visit, established patient, minimal (may not need physician)GT$19.16$19.16
99212Office visit, established patient, straightforward (10-19 min)GT$46.85$46.85
99213Office visit, established patient, low complexity (20-29 min)GT$75.21$75.21
99214Office visit, established patient, moderate complexity (30-39 min)GT$106.15$106.15
99215Office visit, established patient, high complexity (40-54 min)GT$149.71$149.71
99605--GT$75.00$75.00
99606--GT$37.69$37.69
99607--GT$37.69$37.69

Plus 3 more published telehealth rows in Missouri's full schedule.

South Dakota8 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
99412--GT$31.87$31.87
H0001Alcohol and/or drug assessmentGT$36.48$36.48
H0004Behavioral health counseling and therapy, per 15 minutesGT$31.87$31.87
H0005Alcohol and/or drug services; group counseling by a clinicianGT$8.98$8.98
H0050Alcohol and/or drug services, brief intervention, per 15 minutesGT$31.87$31.87
H2011Crisis intervention service, per 15 minutesGT$31.87$31.87
T1006Alcohol and/or substance abuse services, family/couple counselingGT$31.87$31.87
T1012Alcohol and/or substance abuse services, skills developmentGT$31.87$31.87

Michigan6 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealthGT$24.37$23.00
G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealthGT$42.39$40.68
G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealthGT$61.81$59.64
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealthGT$54.48$53.68
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealthGT$76.47$74.76
G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealthGT$108.76$107.35

North Carolina2 published telehealth rates

CodeServiceModifierTelehealth rateStandard rate
97802Medical nutrition therapy, initial, each 15 minutesGT$23.77$23.77
97803Medical nutrition therapy, follow-up, each 15 minutesGT$20.80$20.80

Arizona1 published telehealth rate

CodeServiceModifierTelehealth rateStandard rate
T1016Case management, each 15 minutesGT$21.86$21.33

Kansas1 published telehealth rate

CodeServiceModifierTelehealth rateStandard rate
90863--GT$50.96$50.96

Mississippi1 published telehealth rate

CodeServiceModifierTelehealth rateStandard rate
S9470Nutritional counseling, dietitian visitGT$25.25$25.25

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. A state absent from this page publishes no telehealth-specific rates; its telehealth payment runs through standard rates and coverage policy. "--" in the service column means the code has no plain-language label in our published set yet.

Frequently asked questions

Do state Medicaid programs pay the same for telehealth as in-person visits?

Mostly yes, and that is exactly why so few publish separate telehealth rates. Most states implement payment parity as policy: the same code pays the same amount regardless of modality, so nothing extra appears on the fee schedule. Only 11 states publish telehealth-specific rates via service modifiers, and those are shown on this page next to the standard rate for the same code.

Which states publish separate Medicaid telehealth rates?

District of Columbia, South Carolina, Colorado, Wyoming, Missouri, South Dakota, Michigan, North Carolina, Arizona, Kansas, Mississippi. Every other jurisdiction prices telehealth through its standard schedule and coverage policy rather than separate published amounts, so absence from this page does not mean telehealth is unpaid there.

What do the GT, 95, and 93 modifiers mean?

They are the service modifiers states use to price virtual care separately when they choose to: GT is the legacy interactive audio-video modifier, 95 marks synchronous telemedicine, and 93 marks audio-only services. A state publishing rates under these modifiers is stating an explicit telehealth price; a state without them relies on its parity policy.