G0494 Medicaid reimbursement rate by state (2026)
Skilled services of a licensed practical nurse. Medicaid pays a median of $46.12 for G0494 across 6 states, from $1.00 in Kansas to $89.08 in Michigan.
- States publishing
- 6
- National median
- $46.12units vary by state
- Lowest
- $1.00Kansas
- Highest
- $89.08Michigan
- Median per hour
- $133.925 time-based states
What does Medicaid pay for G0494?
6 state Medicaid programs publish a fee-for-service rate for G0494. The national median is $46.12 (units differ between states). Michigan pays the most, $89.08 per 15 min, and Kansas the least, $1.00 per 15 min, a 89.1x spread. Converted to an hour of service in the 5 states that bill it by time, the median is $133.92 per hour.
G0494 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G0494?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $46.12. Michigan pays the most ($89.08 per 15 min) and Kansas the least ($1.00 per 15 min).
Which state pays the highest Medicaid rate for G0494?
Michigan, at $89.08 per 15 min ($356.32 per hour), effective 2023-10-01.
Do managed-care plans pay the same rate for G0494?
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.