Massachusetts Medicaid Fee Schedule

Massachusetts publishes 11,526 Medicaid fee-for-service rates across 9 service categories. Pooled across categories with a national Medicare comparator, Massachusetts's published rates run a median 80.3% of the Medicare amount, ranking 28 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Massachusetts schedules export as CSV with the Rates plan.

  • 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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Massachusetts's published schedules by category

Physician

6,679codes

See the schedule →

DME & Supplies

2,235codes

See the schedule →

Lab & Imaging

2,166codes

See the schedule →

Other Services

165codes

See the schedule →

Vision

149codes

See the schedule →

Drugs

66codes

See the schedule →

Behavioral Health

44codes

See the schedule →

Hearing

12codes

See the schedule →

Transport

10codes

See the schedule →

Dental

Massachusetts's dental Medicaid rates live in the dental section.

See dental rates →

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.

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Frequently asked questions

Does Massachusetts publish a Medicaid fee schedule?

Yes. Massachusetts publishes 11,526 Medicaid fee-for-service procedure rates across 9 service categories, all collected and normalized here with plain-language procedure names.

How do Massachusetts's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Massachusetts's published rates run a median 80.3% of the Medicare amount, ranking 28 of 49 jurisdictions with a comparable basis.

What service categories does Massachusetts publish?

Physician (6,679 codes), DME & Supplies (2,235 codes), Lab & Imaging (2,166 codes), Other Services (165 codes), Vision (149 codes), Drugs (66 codes), Behavioral Health (44 codes), Hearing (12 codes), Transport (10 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Massachusetts's currently published fee schedules and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.