T2005 Medicaid reimbursement rates by state
Emergency department APG base rate. 8 state Medicaid programs publish a fee-for-service rate for T2005. Rates run from $1.00 in Virginia to $172.00 in New York, with a median of $43.80.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $43.80units vary by state
- Highest
- $172.00New York
- Medicare (non-facility)
- —not on the physician fee schedule
T2005 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid transportation (fee-for-service, via the state transportation broker) | $172.00⚠ over 3× mediansince 2024-08-01 | — | — | Paid by the state, outside plans | — | eMedNY NYS Medicaid Transportation Fee S |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $60.00since 2005-08-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $49.09since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Ground Non-Emergency Medical |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $47.06since 2021-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $40.53since 2022-01-01 | — | — | Paid by the state, outside plans | — | ForwardHealth max fee schedule: Transpor |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $26.29since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $11.64since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | HFS Transportation Fee Schedule (effecti |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for T2005?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $43.80. New York pays the most ($172.00) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for T2005?
New York, at $172.00, effective 2024-08-01.
Do managed-care plans pay the same rate for T2005?
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 table shows the rule for each state, cited to the contract or statute.