A0430 Medicaid reimbursement rates by state
Ambulance service, conventional air services, transport. 39 state Medicaid programs publish a fee-for-service rate for A0430. Rates run from $372.48 in South Carolina to $7,426.90 in Hawaii, with a median of $2,874.22.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 39
- Median rate
- $2,874.22units vary by state
- Highest
- $7,426.90Hawaii
- Medicare (non-facility)
- —not on the physician fee schedule
A0430 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $7,426.90since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | Med-QUEST memo QI-2303 / FFS 23-02, Medi |
| PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service) | $5,589.00since 2007-02-20 | — | — | Plans must pay at least this | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan) | $5,232.65since 2023-07-01 | — | — | Paid by the state, outside plans | — | Utah Medicaid Coverage and Reimbursement |
| KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $5,153.88since 2023-07-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $4,680.83since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $4,358.94since 2015-05-14 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $4,036.04since 2025-09-26 | — | — | Plans negotiate; applies out of network | — | Rates for Ambulance and Wheelchair Van S |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $4,010.67since 2024-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $3,861.62since 2026-01-01 | — | — | Plans must pay at least this | — | MHCP Fee Schedule - Current Fee Schedule |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $3,861.62since 2026-01-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $3,707.15since 2026-01-01 | — | — | Not classified | — | MaineCare Section 5 - Ambulance Services |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $3,638.25since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $3,598.07since 2023-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $3,500.00since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | KY Medicaid Transportation fee schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $3,392.69since 2026-07-01 | One Way | — | Not classified | — | EMT Rates (07/26) |
| TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP) | $3,220.43since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Ambul |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $3,219.82since 2023-02-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Transpor |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $3,039.08since 2022-01-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Emergency and Non-Eme |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $2,951.45since 2024-07-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $2,874.22since 2021-01-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
| AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health) | $2,842.43since 2025-07-01 | — | — | Not classified | — | Alaska Medicaid Transportation and Accom |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $2,706.51since 2026-04-01 | — | — | Not classified | — | BMS Ambulance Fee Schedule Effective 4/1 |
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $2,645.33since 2025-01-01 | — | — | Plans must pay at least this | — | Medicaid Transportation Fee Schedule - E |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $2,632.24since 2023-07-01 | — | — | Paid by the state, outside plans | — | HCA Ambulance transportation fee schedul |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $2,044.88since 2020-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $1,983.59since 2025-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $1,933.49since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $1,911.37since 2013-07-01 | — | — | Paid by the state, outside plans | — | Provider Type 32, Specialty 932 Ambulanc |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $1,860.00since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix to OAC 5160-15-28 (final filed |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $1,801.74since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $1,545.68since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Air Ambulance rates (Air Ambu |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $1,544.65since 2026-07-01 | — | — | Not classified | — | South Dakota Medicaid Transportation Ser |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $1,275.00since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $1,116.61since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Transportation Services Fee Schedule (Tr |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $915.62since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Ambulance Fee Schedule database, J |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $550.00since 2021-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #11 AMBULANCE |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $528.75since 2021-10-01 | — | — | Not classified | — | Ambulance Reimbursement Rates |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $426.89since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Ambulance Serv |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $372.48since 2011-07-11 | — | — | Not classified | — | SCDHHS Ambulance Fee Schedule (schedule |
Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for A0430?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $2,874.22. Hawaii pays the most ($7,426.90) and South Carolina the least ($372.48).
Which state pays the highest Medicaid rate for A0430?
Hawaii, at $7,426.90, effective 2023-01-01.
Do managed-care plans pay the same rate for A0430?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.