Average Medicaid Substance Abuse Treatment Payments
Typical Medicaid Substance Abuse Treatment reimbursement across 5,169 cities
Avg. Medicaid Paid
$58.84
Price Range
$0.00 – $10,105
Total Claims
490.4M
Cities
5169
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Bangor, MI | $42.46 | $6.11 – $256.00 | 275 | 2 |
| Westcliffe, CO | $160.42 | $160.42 – $160.42 | 274 | 1 |
| Reedsburg, WI | $291.44 | $291.44 – $291.44 | 274 | 1 |
| Langley, WA | $6.39 | $0.00 – $62.57 | 274 | 3 |
| Long Beach, NY | $43.20 | $43.20 – $43.20 | 272 | 1 |
| Woodbury, CT | $95.11 | $95.11 – $95.11 | 272 | 1 |
| Norwich, VT | $903.43 | $120.71 – $1,004 | 272 | 2 |
| Mount Desert, ME | $70.09 | $70.09 – $70.09 | 272 | 1 |
| Glendive, MT | $48.29 | $48.29 – $48.29 | 271 | 1 |
| West End, NC | $138.19 | $138.19 – $138.19 | 271 | 1 |
| Schaumburg, IL | $42.31 | $2.79 – $133.86 | 270 | 3 |
| Beatrice, NE | $118.94 | $107.59 – $224.16 | 267 | 2 |
| Nolensville, TN | $256.82 | $256.82 – $256.82 | 267 | 1 |
| Mountain View, AR | $45.81 | $45.81 – $45.81 | 267 | 1 |
| Berthoud, CO | $43.19 | $43.19 – $43.19 | 267 | 1 |
| Logansport, IN | $60.82 | $60.82 – $60.82 | 266 | 1 |
| Konawa, OK | $67.70 | $67.70 – $67.70 | 265 | 1 |
| Pinole, CA | $843.51 | $843.51 – $843.51 | 262 | 1 |
| Duarte, CA | $0.10 | $0.00 – $0.12 | 262 | 2 |
| Chester, IL | $77.51 | $77.51 – $77.51 | 261 | 1 |
| Arizona City, AZ | $45.75 | $0.00 – $74.17 | 261 | 2 |
| Brookings, SD | $61.04 | $61.04 – $61.04 | 260 | 1 |
| Blairsville, GA | $18.72 | $18.72 – $18.72 | 259 | 1 |
| Ironwood, MI | $91.58 | $91.58 – $91.58 | 257 | 1 |
| Blanch, NC | $251.35 | $251.35 – $251.35 | 257 | 1 |
| Saint Joseph, MI | $0.00 | $0.00 – $0.00 | 255 | 1 |
| Rosemead, CA | $367.99 | $367.99 – $367.99 | 254 | 1 |
| Lovington, NM | $22.75 | $8.81 – $53.06 | 254 | 2 |
| Effingham, NH | $107.76 | $107.76 – $107.76 | 254 | 1 |
| Saipan, MP | $102.97 | $102.97 – $102.97 | 253 | 1 |
| Herald, CA | $29.66 | $29.66 – $29.66 | 252 | 1 |
| Chantilly, VA | $32.52 | $0.00 – $326.50 | 251 | 8 |
| Turlock, CA | $102.53 | $102.53 – $102.53 | 250 | 1 |
| Eastport, ME | $0.00 | $0.00 – $0.00 | 250 | 1 |
| Brooklyn, NM | $44.62 | $44.62 – $44.62 | 250 | 1 |
| Ridgeland, MS | $100.65 | $100.65 – $100.65 | 249 | 1 |
| Philipsburg, PA | $91.04 | $91.04 – $91.04 | 249 | 1 |
| Upper Arlington, OH | $4.63 | $4.63 – $4.63 | 249 | 1 |
| Fairmont, MN | $164.74 | $164.74 – $164.74 | 248 | 1 |
| Bayfield, CO | $54.21 | $54.21 – $54.21 | 248 | 1 |
| Butler, GA | $0.00 | $0.00 – $0.00 | 248 | 1 |
| Windermere, FL | $0.00 | $0.00 – $0.00 | 247 | 1 |
| Mead, WA | $242.86 | $242.86 – $242.86 | 247 | 1 |
| Bloomfield, CT | $96.11 | $0.00 – $102.37 | 245 | 2 |
| Townsend, DE | $0.00 | $0.00 – $0.00 | 244 | 1 |
| Alma, AR | $78.10 | $78.10 – $78.10 | 244 | 1 |
| Sanbornville, NH | $112.08 | $112.08 – $112.08 | 244 | 1 |
| Anna, TX | $36.08 | $36.08 – $36.08 | 244 | 1 |
| Robbinston, ME | $95.20 | $95.20 – $95.20 | 244 | 1 |
| South Miami, FL | $11.36 | $11.36 – $11.36 | 243 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.