# HCPCS G2086: Office-based treatment for opioid use disorder, first 70 minutes

Medicare HCPCS G2086 pays $491.33 in a non-facility setting and $362.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $454.30 in Arkansas to $634.09 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/G2086-hcpcs-fee-schedule
Section: Behavioral Health

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $491.33 |
| National facility | $362.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $634.09 | $497.13 |
| District of Columbia | $542.81 | $391.33 |
| New York | $534.13 | $390.67 |
| New Jersey | $531.53 | $386.74 |
| California | $526.93 | $374.77 |
| Washington | $522.55 | $375.95 |
| Massachusetts | $519.68 | $375.21 |
| Connecticut | $516.00 | $377.50 |
| Florida | $511.57 | $382.55 |
| Hawaii | $508.83 | $362.62 |
| Illinois | $504.71 | $380.46 |
| Maryland | $504.70 | $370.64 |
| Colorado | $502.39 | $365.57 |
| Rhode Island | $500.71 | $367.87 |
| Oregon | $498.08 | $362.60 |
| New Hampshire | $496.59 | $362.72 |
| Puerto Rico | $493.12 | $363.11 |
| Virgin Islands | $493.12 | $363.11 |
| Pennsylvania | $491.35 | $365.39 |
| Montana | $491.29 | $362.69 |
| Texas | $488.42 | $361.82 |
| Delaware | $488.34 | $361.28 |
| Michigan | $488.09 | $367.34 |
| Nevada | $488.06 | $359.34 |
| Georgia | $487.01 | $364.34 |
| Wyoming | $485.94 | $357.35 |
| Arizona | $482.41 | $357.81 |
| Minnesota | $482.30 | $349.98 |
| Virginia | $481.99 | $355.58 |
| New Mexico | $479.60 | $361.68 |
| Vermont | $479.18 | $351.88 |
| North Dakota | $479.03 | $350.43 |
| Utah | $477.73 | $356.85 |
| South Dakota | $477.58 | $348.98 |
| Louisiana | $475.65 | $358.25 |
| Missouri | $475.25 | $357.24 |
| West Virginia | $475.18 | $363.43 |
| Maine | $475.08 | $352.21 |
| Ohio | $474.84 | $357.44 |
| South Carolina | $473.68 | $354.86 |
| North Carolina | $471.03 | $351.05 |
| Wisconsin | $468.96 | $345.77 |
| Kentucky | $468.32 | $354.00 |
| Indiana | $466.71 | $347.51 |
| Oklahoma | $466.23 | $351.40 |
| Idaho | $465.10 | $346.80 |
| Tennessee | $464.32 | $347.43 |
| Nebraska | $463.71 | $345.02 |
| Kansas | $462.68 | $346.43 |
| Iowa | $462.57 | $344.91 |
| Mississippi | $459.32 | $348.60 |
| Alabama | $458.42 | $345.90 |
| Arkansas | $454.30 | $343.84 |

## Related codes

- G2087: Office-based treatment for opioid use disorder, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/G2087-hcpcs-fee-schedule
- H0001: Alcohol and/or drug assessment — https://www.med-reveal.com/rates/H0001-hcpcs-fee-schedule
- H0004: Behavioral health counseling and therapy, per 15 minutes — https://www.med-reveal.com/rates/H0004-hcpcs-fee-schedule
- H0005: Alcohol/drug services, group counseling by a clinician — https://www.med-reveal.com/rates/H0005-hcpcs-fee-schedule
- H0006: Alcohol/drug services, case management — https://www.med-reveal.com/rates/H0006-hcpcs-fee-schedule
- H0007: Alcohol/drug services, crisis intervention — https://www.med-reveal.com/rates/H0007-hcpcs-fee-schedule
- H0008: Alcohol/drug services, sub-acute detoxification (hospital inpatient) — https://www.med-reveal.com/rates/H0008-hcpcs-fee-schedule
- H0009: Alcohol/drug services, acute detoxification (hospital inpatient) — https://www.med-reveal.com/rates/H0009-hcpcs-fee-schedule

Commercial negotiated rates for G2086 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