G9685 Medicaid reimbursement rate by state (2026)
Physician service or other qualified health care.... Medicaid pays a median of $114.91 for G9685 across 6 states, from $0.39 in Kansas to $220.15 in Montana.
- States publishing
- 6
- National median
- $114.91units vary by state
- Lowest
- $0.39Kansas
- Highest
- $220.15Montana
What does Medicaid pay for G9685?
6 state Medicaid programs publish a fee-for-service rate for G9685. The national median is $114.91 (units differ between states). Montana pays the most, $220.15, and Kansas the least, $0.39, a 564.5x spread.
Medicare (non-facility, 2026 physician fee schedule): $148.96–$169.48 depending on the state's Medicare locality.
G9685 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 G9685?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $114.91. Montana pays the most ($220.15) and Kansas the least ($0.39).
Which state pays the highest Medicaid rate for G9685?
Montana, at $220.15, effective 2026-07-01.
Do managed-care plans pay the same rate for G9685?
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.