Every state, kept current
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$29/mo7-day free trialThese 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 and state network lists
- Email alerts when a state changes its rates
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Massachusetts'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 | 6,680 | 2026 | 78.6% | $68.11 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,166 | 2025 | 88.2% | $26.41 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,605 | 2026 | 84.1% | $40.89 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 67 | 2026 | -- | -- | -- |
| Vision | 149 | 2026 | 71.2% | $114.47 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 44 | 2026 | 65.7% | $108.09 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 12 | 2025 | -- | -- | -- |
| Transport | 10 | 2025 | -- | $208.87 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 171 | 2026 | 72.5% | -- | -- |
| Dental | Massachusetts'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 Massachusetts publishes its fee schedules
- Publisher
- Massachusetts Executive Office of Health and Human Services (EOHHS)
- Program
- MassHealth
- Official source
- https://www.mass.gov/lists/provider-payment-rates-community-health-care-providers-ambulatory-care
- Last checked
- Sep 6, 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 Massachusetts schedules, every category and every code, export as CSV on the Rates plan.
Compare Massachusetts nationally
Frequently asked questions
Does Massachusetts publish a Medicaid fee schedule?
Yes. Massachusetts publishes 10,904 Medicaid fee-for-service procedure rates across 9 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Massachusetts Executive Office of Health and Human Services (EOHHS) publishes Massachusetts's Medicaid fee schedules for MassHealth.
Who publishes Massachusetts's Medicaid fee schedule?
Massachusetts Executive Office of Health and Human Services (EOHHS) publishes Massachusetts's Medicaid fee schedules for MassHealth. The state's own fee-schedule page is https://www.mass.gov/lists/provider-payment-rates-community-health-care-providers-ambulatory-care. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 6, 2026).
What does Massachusetts Medicaid pay for common services?
An established-patient office visit (99213) pays $68.11, a two-view chest X-ray (71046) $26.41 and a CPAP device (E0601) $40.89. 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 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 (6,680 codes), Lab & Imaging (2,166 codes), DME & Supplies (1,605 codes), Drugs (67 codes), Vision (149 codes), Behavioral Health (44 codes), Hearing (12 codes), Transport (10 codes), State-Specific Services (171 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, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.