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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Indiana 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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Indiana'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 | 6,764 | Apr 2026 | 94.6% | $84.31 Office visit, established patient, low complexity (20-29 min) (99213) | 393 |
| Lab & Imaging | 2,177 | Jan 2026 | 100% | $30.77 Chest X-ray, 2 views (71046) | 236 |
| DME & Supplies | 2,074 | Apr 2026 | 97.7% | $512.60 Continuous positive airway pressure (cpap) device (E0601) | 513 |
| Drugs | 865 | Apr 2026 | -- | -- | 93 |
| Vision | 149 | Jan 2026 | 93.2% | $138.58 Eye exam, new patient, comprehensive (92004) | 1 |
| Behavioral Health | 43 | Jan 2026 | 89.8% | $150.29 Psychotherapy, 60 minutes (90837) | 24 |
| Hearing | 16 | Jan 2025 | -- | $1,219.04 Hearing aid, digital, binaural, bte (V5261) | 10 |
| Transport | 18 | Jan 2026 | -- | $269.02 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | 4 |
| State-Specific Services | 595 | Apr 2026 | 39.7% | $21.42 Telehealth originating site facility fee (Q3014) | 97 |
| Dental | Indiana'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 Indiana publishes its fee schedules
- Publisher
- Indiana Family and Social Services Administration (FSSA)
- Program
- Indiana Health Coverage Programs (IHCP)
- Official source
- https://provider.indianamedicaid.com/general-provider-services/billing-and-remittance/ihcp-fee-schedules/
- 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 Indiana schedules, every category and every code, export as CSV on the Rates plan.
Compare Indiana nationally
Frequently asked questions
Does Indiana publish a Medicaid fee schedule?
Yes. Indiana publishes 12,701 Medicaid fee-for-service procedure rates across 9 service categories, effective through Apr 2026, all collected and normalized here with plain-language procedure names. Indiana Family and Social Services Administration (FSSA) publishes Indiana's Medicaid fee schedules for Indiana Health Coverage Programs (IHCP).
Who publishes Indiana's Medicaid fee schedule?
Indiana Family and Social Services Administration (FSSA) publishes Indiana's Medicaid fee schedules for Indiana Health Coverage Programs (IHCP). The state's own fee-schedule page is https://provider.indianamedicaid.com/general-provider-services/billing-and-remittance/ihcp-fee-schedules/. 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 Indiana Medicaid pay for common services?
An established-patient office visit (99213) pays $84.31, a two-view chest X-ray (71046) $30.77 and a CPAP device (E0601) $512.60. 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 Indiana's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Indiana's published rates run a median 95.8% of the Medicare amount, ranking 12 of 49 jurisdictions with a comparable basis.
What service categories does Indiana publish?
Physician (6,764 codes), Lab & Imaging (2,177 codes), DME & Supplies (2,074 codes), Drugs (865 codes), Vision (149 codes), Behavioral Health (43 codes), Hearing (16 codes), Transport (18 codes), State-Specific Services (595 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Indiana's currently published fee schedules, the newest effective Apr 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.