# HCPCS G2011: Alcohol/sub misuse assess

Medicare HCPCS G2011 pays $17.37 in a non-facility setting and $14.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $16.13 in Arkansas to $22.78 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/G2011-hcpcs-fee-schedule
Section: Behavioral Health
Billed by: Methadone Clinic

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $17.37 |
| National facility | $14.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $22.78 | $19.93 |
| District of Columbia | $19.03 | $15.88 |
| New York | $18.87 | $15.89 |
| New Jersey | $18.70 | $15.69 |
| Florida | $18.34 | $15.65 |
| California | $18.28 | $15.12 |
| Washington | $18.26 | $15.21 |
| Connecticut | $18.21 | $15.33 |
| Massachusetts | $18.19 | $15.19 |
| Illinois | $18.14 | $15.56 |
| Maryland | $17.82 | $15.04 |
| Hawaii | $17.68 | $14.64 |
| Rhode Island | $17.65 | $14.89 |
| Colorado | $17.62 | $14.78 |
| Oregon | $17.47 | $14.65 |
| New Hampshire | $17.46 | $14.68 |
| Michigan | $17.45 | $14.94 |
| Pennsylvania | $17.43 | $14.81 |
| Puerto Rico | $17.41 | $14.71 |
| Virgin Islands | $17.41 | $14.71 |
| Montana | $17.37 | $14.69 |
| Georgia | $17.34 | $14.79 |
| Texas | $17.28 | $14.64 |
| Delaware | $17.26 | $14.62 |
| Nevada | $17.21 | $14.53 |
| New Mexico | $17.13 | $14.68 |
| Wyoming | $17.11 | $14.44 |
| West Virginia | $17.10 | $14.78 |
| Arizona | $17.06 | $14.47 |
| Virginia | $16.98 | $14.36 |
| Louisiana | $16.95 | $14.52 |
| Utah | $16.95 | $14.43 |
| Missouri | $16.91 | $14.46 |
| Ohio | $16.91 | $14.47 |
| Minnesota | $16.82 | $14.07 |
| Vermont | $16.82 | $14.17 |
| South Carolina | $16.81 | $14.34 |
| North Dakota | $16.77 | $14.10 |
| Maine | $16.76 | $14.20 |
| South Dakota | $16.70 | $14.03 |
| Kentucky | $16.69 | $14.31 |
| North Carolina | $16.65 | $14.16 |
| Oklahoma | $16.57 | $14.19 |
| Indiana | $16.46 | $13.99 |
| Wisconsin | $16.45 | $13.89 |
| Tennessee | $16.42 | $13.99 |
| Idaho | $16.41 | $13.95 |
| Kansas | $16.36 | $13.94 |
| Mississippi | $16.36 | $14.06 |
| Nebraska | $16.33 | $13.87 |
| Iowa | $16.31 | $13.87 |
| Alabama | $16.27 | $13.93 |
| Arkansas | $16.13 | $13.83 |

## Related codes

- H0017: Alcohol and/or drug services — https://www.med-reveal.com/rates/H0017-hcpcs-fee-schedule
- H0018: Alcohol and/or drug services — https://www.med-reveal.com/rates/H0018-hcpcs-fee-schedule
- H0023: Alcohol and/or drug outreach — https://www.med-reveal.com/rates/H0023-hcpcs-fee-schedule
- H0025: Alcohol and/or drug preventi — https://www.med-reveal.com/rates/H0025-hcpcs-fee-schedule
- H0030: Alcohol and/or drug hotline — https://www.med-reveal.com/rates/H0030-hcpcs-fee-schedule
- H0036: Comm psy face-face per 15min — https://www.med-reveal.com/rates/H0036-hcpcs-fee-schedule
- H0037: Comm psy sup tx pgm per diem — https://www.med-reveal.com/rates/H0037-hcpcs-fee-schedule
- H0038: Self-help/peer svc per 15min — https://www.med-reveal.com/rates/H0038-hcpcs-fee-schedule

Commercial negotiated rates for G2011 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules