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Billing code G6008 · Radiology

G6008 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $142.62 for G6008 across 7 states, from $107.99 in Michigan to $164.74 in New York.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$142.62units vary by state
Lowest
$107.99Michigan
Highest
$164.74New York
Answer

What does Medicaid pay for G6008?

7 state Medicaid programs publish a fee-for-service rate for G6008. The national median is $142.62 (units differ between states). New York pays the most, $164.74 per unit, and Michigan the least, $107.99, a 1.5x spread.

State ranking

G6008 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New York Source · since 2023-10-01$164.74unit—Plans negotiate; applies out of network—
2New Mexico Source · since 2023-07-01$163.10——Plans must pay at least this—
3Iowa Source · since 2015-01-01$149.14——Plans must pay at least this—
7Michigan Source · since 2025-01-01$107.99——Plans negotiate; applies out of network—
See all 7 states for G6008 — start free

3 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.

  • Source for every rate
  • Full rate history
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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 G6008 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
Guide

How to read this table

  • Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for G6008, so the order is by published amount and is not a like-for-like rank.
  • Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 3 of the 7 states list more than one rate for G6008, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
  • Unit. Of the 7 states, 1 publish G6008 per unit, and 6 schedules print no unit at all (a flat amount per service).
  • Per hour. G6008 is not billed in time units in these states, so no hourly figure is shown.
  • Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
  • % of Medicare. No Medicare physician fee schedule amount is on file for G6008, so there is no percentage.
  • Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.
Context

Why G6008 rates differ between states

Published rates for G6008 run from $107.99 in Michigan to $164.74 in New York. The two publish it in different units (unit versus no unit printed), so part of that gap is the unit rather than the price. Half the states pay more than the median of $142.62 and half pay less. The usual reasons for a spread like this in radiology rates:

  • Advanced imaging such as CT, MRI and PET is often under separate pricing and prior-authorization policies that vary from state to state.
  • States that benchmark imaging to Medicare use different percentages and different Medicare years.
  • Some states pay hospitals for the technical component through an outpatient system and pay only the professional component from the physician schedule.

Timing matters too. 1 state set the current rate for G6008 in 2026 or later, while 2 states still pay a rate that took effect in 2022 or earlier. A state that has not updated its rate in years will drift down the ranking as others raise theirs.

Managed care

What managed-care plans pay for G6008

No managed-care plan publishes what it pays for G6008. What is public is the rule each state's plan contracts set, and that rule decides how much the published rate matters when you contract with a plan.

In 2 states, the published rate binds plans: a floor, a pass-through or a state-set rate. In 5 states, plans negotiate and the published rate is a benchmark or out-of-network default.

  • Plans negotiate; the published rate applies out of network (5 states). In-network rates can be above or below the published rate. The published rate is the benchmark both sides know, and the fallback if no contract is signed.
  • Plans must pay at least the published rate (2 states). The published rate is your floor. Negotiate up from it, and if a plan pays less, the contract provision is the basis for a payment dispute.

Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example New York managed care.

Billing

Units and billing for G6008

G6008 is a HCPCS Level II professional services code in the radiology line, billed mostly by radiology groups, imaging centers and hospitals. G codes describe professional services and procedures that have no CPT code, or that payers define more narrowly. Many are timed, so check the unit before comparing.

Contrast agents and radiopharmaceuticals are usually billed separately under their own codes. Imaging is billed per study, with modifier 26 for the professional component and TC for the technical component; a claim without either is paid at the global amount where the state publishes one.

Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.

FAQ

Frequently asked questions

What does Medicaid pay for G6008?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $142.62. New York pays the most ($164.74 per unit) and Michigan the least ($107.99).

Which state pays the highest Medicaid rate for G6008?

New York, at $164.74 per unit, effective 2023-10-01.

Which state pays the lowest Medicaid rate for G6008?

Michigan, at $107.99, effective 2025-01-01. It publishes the code in a different unit from New York, so compare per unit with care.

What unit is G6008 billed in?

Of the 7 states, 1 publish G6008 per unit, and 6 schedules print no unit at all (a flat amount per service).

Do managed-care plans pay the same rate for G6008?

Not necessarily. In 2 states, the published rate binds plans: a floor, a pass-through or a state-set rate. In 5 states, plans negotiate and the published rate is a benchmark or out-of-network default. Each rule is cited to the plan contract, statute or notice in the workspace.