All 50 states + DC

What Medicaid pays, state by state

546,823 published fee-for-service rates across 51 jurisdictions, organized by service category with plain-language procedure names and each rate compared against the national Medicare amount for the same code.

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The Rates plan

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These 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
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Physician

51 states

office visits, preventive care, surgery, and evaluation and management services

8,419 codes · median 81.8% of Medicare

Lab & Imaging

48 states

blood panels, urinalysis, X-rays, CT, MRI, and ultrasound

3,855 codes · median 90% of Medicare

DME & Supplies

50 states

wheelchairs, CPAP devices, oxygen equipment, orthotics, prosthetics, and diabetic supplies

2,608 codes · median 78.4% of Medicare

Drugs

41 states

injectable and infused medications billed under HCPCS J-codes

1,203 codes

Vision

49 states

eye exams, refractions, frames, and lenses

200 codes · median 72.4% of Medicare

Behavioral Health

51 states

psychotherapy, psychiatric evaluations, substance-use treatment, and community mental health services

147 codes · median 81.2% of Medicare

Anesthesia

31 states

anesthesia base codes, which most states price per base unit

308 codes

Hearing

43 states

hearing tests, hearing aids, and ear molds

71 codes

Transport

42 states

ambulance services, mileage, and non-emergency medical transport

46 codes

LTSS / Waiver

3 states

personal care, attendant services, day habilitation, and waiver program services

71 codes

Other Services

51 states

clinic encounters, screenings, and state-specific service codes

1,479 codes · median 80% of Medicare

Dental

51 jurisdictions

exams, 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.

Cross-state trackers

State rankings

Every state ranked against national Medicare, all categories pooled.

Prior authorization

Which states publish PA flags, and how many codes they mark.

Therapy rates by credential

The published rate ladder from doctoral to bachelor's level.

Telehealth rates

The states that publish telehealth-specific rates, and why most don't.

Browse by state

Every jurisdiction's hub: how the state pays, what it publishes, and its schedules by category.

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 81.8%, lab & imaging at 90%, dme & supplies at 78.4% - 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.

Which states don't publish a Medicaid fee schedule?

Two states break the pattern outright. Tennessee publishes no medical fee schedule at all: TennCare runs entirely through managed care, so rates are MCO-negotiated and private (the state does set LTSS/waiver rates, which are carried here). Oregon publishes a pricing formula instead of a code table, so its per-code rates on these pages are computed from Oregon's own published methodology and labeled as derived. Several more publish through carve-outs: Maryland's behavioral health rates, for example, are published by its Public Behavioral Health System ASO rather than the Medicaid agency, and are carried here with the rest of Maryland's schedules. Each state hub explains how that state pays.

Deep dives on the two exceptions: why Tennessee has no fee schedule and Oregon's derived rates.