The Rates plan
$29/mo7-day free trialThese pages show common-procedure samples. The Rates plan unlocks every code on every published schedule, all 50 states + DC.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Physician
51 statesoffice visits, preventive care, surgery, and evaluation and management services
8,589 codes · median 83.1% of Medicare
Lab & Imaging
47 statesblood panels, urinalysis, X-rays, CT, MRI, and ultrasound
3,927 codes · median 90% of Medicare
DME & Supplies
50 stateswheelchairs, CPAP devices, oxygen equipment, orthotics, prosthetics, and diabetic supplies
3,796 codes · median 77.9% of Medicare
Drugs
41 statesinjectable and infused medications billed under HCPCS J-codes
1,220 codes
Vision
49 stateseye exams, refractions, frames, and lenses
200 codes · median 73.5% of Medicare
Behavioral Health
50 statespsychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services
149 codes · median 81.2% of Medicare
Anesthesia
30 statesanesthesia base codes, which most states price per base unit
310 codes
Hearing
41 stateshearing tests, hearing aids, and ear molds
71 codes
Transport
42 statesambulance services, mileage, and non-emergency medical transport
46 codes
LTSS / Waiver
5 statespersonal care, attendant services, day habilitation, and waiver program services
89 codes
Other Services
51 statesclinic encounters, screenings, and state-specific service codes
1,550 codes · median 81.7% of Medicare
Dental
51 jurisdictionsexams, cleanings, fillings, crowns, and extractions - the dedicated dental rates section
per-state pages + per-procedure comparisons
Where these numbers come from
Every rate is collected from the state's own published Medicaid fee-for-service schedule - the spreadsheets, PDFs, and portals each program maintains - and normalized into one comparable dataset. Each state-and-code combination shows one representative published rate: the standard schedule's bare rate where one exists, otherwise the closest published variant, flagged as such.
The percent-of-Medicare comparison divides each state's rate by the national Medicare amount for the same code (physician fee schedule, lab fee schedule, ASC rates, or the DMEPOS schedule, GPCI-neutral). Procedure names are ProviderSignal's own plain-language descriptions or public-domain CMS text.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Frequently asked questions
What is a Medicaid fee schedule?
A Medicaid fee schedule is the list of amounts a state's Medicaid program pays providers for each procedure code under fee-for-service. Every state publishes its own schedules, split by service category, and the amounts differ widely between states. These pages collect the published schedules for all 50 states + DC and add plain-language procedure names and a comparison against the national Medicare amount for the same code.
How do Medicaid rates compare with Medicare?
It varies by state and service. Across categories with a national Medicare comparator, current national medians run physician at 83.1%, lab & imaging at 90%, dme & supplies at 77.9% - but individual states range from roughly a third of Medicare to well above it. Each category page ranks every state.
Do these pages show dental rates too?
Yes - dental has its own dedicated section with per-state pages, a common-procedure basket, and per-procedure comparisons. See the dental Medicaid rates pages linked from the category grid.
How current are the schedules?
Rates come from each state's currently published fee schedule and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. Pages update automatically after each collection sweep.