Every state, kept current
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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Idaho schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Idaho's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,717 | Jul 2026 | 79.4% | $86.12 Office visit, established patient, low complexity (20-29 min) (99213) | 369 |
| Lab & Imaging | 2,129 | Jul 2026 | 86.4% | $26.51 Chest X-ray, 2 views (71046) | 241 |
| DME & Supplies | 2,014 | Jul 2026 | 86.1% | $838.25 Continuous positive airway pressure (cpap) device (E0601) | 313 |
| Drugs | 876 | Jul 2026 | -- | -- | 151 |
| Vision | 146 | Jul 2026 | 81.5% | $122.63 Eye exam, new patient, comprehensive (92004) | 33 |
| Behavioral Health | 25 | Jul 2026 | 84.1% | $141.23 Psychotherapy, 60 minutes (90837) | 2 |
| Hearing | 30 | Sep 2025 | -- | $1,007.92 Hearing aid, digital, binaural, bte (V5261) | -- |
| Transport | 16 | Sep 2025 | -- | $232.28 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | 11 |
| State-Specific Services | 394 | Jul 2026 | 85.1% | -- | 89 |
| Dental | Idaho's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
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.
Where Idaho publishes its fee schedules
- Publisher
- Idaho Department of Health and Welfare (DHW)
- Program
- Idaho Medicaid
- Official source
- https://publicdocuments.dhw.idaho.gov/WebLink/Browse.aspx?id=15529&dbid=0&repo=PUBLIC-DOCUMENTS
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Idaho schedules, every category and every code, export as CSV on the Rates plan.
Compare Idaho nationally
Frequently asked questions
Does Idaho publish a Medicaid fee schedule?
Yes. Idaho publishes 12,347 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Idaho Department of Health and Welfare (DHW) publishes Idaho's Medicaid fee schedules.
Who publishes Idaho's Medicaid fee schedule?
Idaho Department of Health and Welfare (DHW) publishes Idaho's Medicaid fee schedules. The state's own fee-schedule page is https://publicdocuments.dhw.idaho.gov/WebLink/Browse.aspx?id=15529&dbid=0&repo=PUBLIC-DOCUMENTS. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Idaho Medicaid pay for common services?
An established-patient office visit (99213) pays $86.12, a two-view chest X-ray (71046) $26.51 and a CPAP device (E0601) $838.25. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Idaho's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Idaho's published rates run a median 80.1% of the Medicare amount, ranking 29 of 49 jurisdictions with a comparable basis.
What service categories does Idaho publish?
Physician (6,717 codes), Lab & Imaging (2,129 codes), DME & Supplies (2,014 codes), Drugs (876 codes), Vision (146 codes), Behavioral Health (25 codes), Hearing (30 codes), Transport (16 codes), State-Specific Services (394 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Idaho's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.