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Billing code G0235 · Hospital outpatient

G0235 Medicaid reimbursement rate by state (2026)

Pet imaging, any site, not otherwise specified. Medicaid pays a median of $209.32 for G0235 across 11 states, from $4.47 in Iowa to $359.58 in Wyoming.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$209.32units vary by state
Lowest
$4.47Iowa
Highest
$359.58Wyoming
Answer

What does Medicaid pay for G0235?

11 state Medicaid programs publish a fee-for-service rate for G0235. The national median is $209.32 (units differ between states). Wyoming pays the most, $359.58, and Iowa the least, $4.47, a 80.5x spread.

State ranking

G0235 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wyoming Source · since 2026-01-01$359.58——Not classified—
2Vermont Source · since 2026-02-01$310.41——Not classified—
3Montana Source · since 2026-01-01$220.34——Not classified—
5Kentucky Source · since 2026-01-01$215.08——Plans negotiate; applies out of network—
6Arkansas Source · since 2026-01-01$209.32——Not classified—
10Connecticut Source · since 2026-01-01$4.47——Not classified—
11Iowa Source · since 2026-01-01$4.47——Plans must pay at least this—
See all 11 states for G0235 — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track G0235 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for G0235?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $209.32. Wyoming pays the most ($359.58) and Iowa the least ($4.47).

Which state pays the highest Medicaid rate for G0235?

Wyoming, at $359.58, effective 2026-01-01.

Do managed-care plans pay the same rate for G0235?

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.