Ambulance mileage: Medicaid rates by state

States publish ambulance mileage under their own codes, modifiers and units. To compare them, this page picks the rate in each state that matches the same service and provider level.

• Provider level. States are compared at the physician or licensed psychologist (incl. BCBA-D) level. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. Of the 47 states, 44 publish their headline rate per mile and 2 per per air mile, and 1 schedule prints no unit at all (a flat amount per service). The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 44 of the 47 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 3,045 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Delaware, pays $32.89; the lowest, Georgia, pays $0.00. 46 of the 47 states pay above the median of —. Common reasons rates for transportation services spread this way:

• Emergency and non-emergency trips, advanced and basic life support, and urban and rural trips can each carry their own rates.
• Many states run non-emergency medical transportation through a broker, so the state fee schedule covers only part of the benefit.
• Ambulance payment is usually a base rate per transport plus mileage, and states weight the two differently.

Billing notes

Origin and destination modifiers on the claim identify where the trip started and ended. The base rate is billed once per trip and mileage per loaded mile under its own code.