Which States Pay the Highest Medicaid Rates

Every state ranked by how its published Medicaid schedule compares with national Medicare, pooled across all service categories. The spread runs from Alaska at 166.9% of the Medicare amount down to Florida at 48.2%.

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The ranking pools every category. Per-category rankings live on each category hub, and the complete schedules export with the Rates plan.

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RankStateMedian % of MedicareCodes comparedCategories
1Alaska166.9%7,8778
2New Mexico138.4%10,43810
3Montana134.4%11,22010
4Rhode Island114.9%2328
5North Dakota106.6%10,0038
6Nevada101.8%9,6169
7Nebraska100%9,5449
8Arizona100%10,0339
9Hawaii99.9%9,92210
10Delaware97%9,24410
11Wisconsin96.8%9,88910
12New York96.3%7,9398
13Indiana95.7%10,4599
14Arkansas95%10,08510
15Wyoming89%9,59510
16District of Columbia88.5%9,7989
17Oklahoma87.8%9,79510
18Louisiana86.8%8,2079
19Virginia86.6%10,05210
20Georgia85.9%7,5937
21Texas84.1%9,84410
22Mississippi83.6%5,97510
23Maryland83.4%1,3925
24Colorado83.4%9,00010
25Vermont82.7%9,91010
26Kansas82.2%9,34610
27Missouri81.5%8,2819
28Massachusetts80.3%9,7309
29Idaho80.1%10,1059
30Oregon80%10,0366
31New Jersey79.4%10,1209
32California79%9,42010
33Kentucky78.6%10,9339
34North Carolina78.5%9,01011
35Iowa78%9,96310
36Minnesota76.5%10,30810
37Utah75.8%9,6959
38Ohio74.1%10,1468
39Illinois71.9%9,6169
40West Virginia71.7%10,32910
41South Carolina70.5%8,57410
42Alabama69.2%7,2827
43Connecticut68.2%10,17012
44Maine67.6%9,89410
45New Hampshire67.1%10,07810
46Michigan63.8%10,14410
47Washington61%9,72110
48Pennsylvania55.5%4,6279
49Florida48.2%3,2835

No comparable basis: Tennessee, South Dakota. These jurisdictions publish schedules whose codes lack a national Medicare comparator, or publish no medical fee schedule at all (Tennessee's case is its own story).

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. Hospital-bundle schedules (outpatient APC, inpatient) are excluded from every Medicare comparison; Rhode Island's comparable rows are its lab and radiology schedules, and Oregon's rates are derived from its published methodology.

Per-category rankings

Frequently asked questions

Which state pays the highest Medicaid rates?

Measured as the median percent of the national Medicare amount across every comparable code it publishes, Alaska pays the most: 166.9% of Medicare across 7,877 compared codes. The top of the table is dominated by large rural states, where the rate is the access policy.

Which state pays the lowest Medicaid rates?

Florida anchors the bottom at a median 48.2% of the Medicare amount. Individual categories and codes vary widely inside every state, so use the per-category pages for anything narrower than the composite.

How is this ranking calculated?

For every code a state publishes that has a national Medicare comparator (Physician Fee Schedule, clinical lab, ASC, or DMEPOS), we compute the state's rate as a percent of the Medicare amount, then take the state's median across all of them. Hospital-bundle schedules (outpatient APC, inpatient) are excluded from the comparison because bundle amounts are not comparable with professional rates. It is a GPCI-neutral national comparison of published fee-for-service schedules, not managed-care payment.