G0103 Medicaid reimbursement rate by state (2026)
Prostate cancer screening; prostate specific antigen test. Medicaid pays a median of $18.80 for G0103 across 29 states, from $6.35 in Kansas to $25.70 in Georgia.
- States publishing
- 29
- National median
- $18.80units vary by state
- Lowest
- $6.35Kansas
- Highest
- $25.70Georgia
What does Medicaid pay for G0103?
29 state Medicaid programs publish a fee-for-service rate for G0103. The national median is $18.80 (units differ between states). Georgia pays the most, $25.70, and Kansas the least, $6.35, a 4.0x spread.
G0103 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0103?
It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $18.80. Georgia pays the most ($25.70) and Kansas the least ($6.35).
Which state pays the highest Medicaid rate for G0103?
Georgia, at $25.70, effective 2018-10-01.
Do managed-care plans pay the same rate for G0103?
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 workspace shows the rule for each state, cited to the contract or statute.