Every state, kept current
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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Texas 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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Texas'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 | 6,550 | Apr 2026 | 84.8% | $33.95 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,128 | May 2026 | 137% | $27.00 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,910 | Apr 2026 | 63.8% | $811.38 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 834 | Apr 2026 | -- | -- | -- |
| Vision | 143 | Mar 2025 | 49.7% | $119.22 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 31 | Mar 2026 | 76.2% | $127.50 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 13 | Mar 2026 | -- | -- | -- |
| Transport | 18 | Sep 2023 | -- | $186.00 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 345 | Jun 2026 | 77.4% | $21.78 Telehealth originating site facility fee (Q3014) | -- |
| Dental | Texas's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Texas also publishes 3 anesthesia codes (Nov 2017), too few or too old to summarize here.
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 Texas publishes its fee schedules
- Publisher
- Texas Health and Human Services Commission (TMHP)
- Program
- Texas Medicaid (TMHP)
- Official source
- https://public.tmhp.com/FeeSchedules/StaticFeeSchedule/FeeSchedules.aspx
- 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 Texas schedules, every category and every code, export as CSV on the Rates plan.
Compare Texas nationally
Frequently asked questions
Does Texas publish a Medicaid fee schedule?
Yes. Texas publishes 11,972 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jun 2026, all collected and normalized here with plain-language procedure names. Texas Health and Human Services Commission (TMHP) publishes Texas's Medicaid fee schedules.
Who publishes Texas's Medicaid fee schedule?
Texas Health and Human Services Commission (TMHP) publishes Texas's Medicaid fee schedules. The state's own fee-schedule page is https://public.tmhp.com/FeeSchedules/StaticFeeSchedule/FeeSchedules.aspx. 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 Texas Medicaid pay for common services?
An established-patient office visit (99213) pays $33.95, a two-view chest X-ray (71046) $27.00 and a CPAP device (E0601) $811.38. 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 Texas's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Texas's published rates run a median 84.1% of the Medicare amount, ranking 20 of 49 jurisdictions with a comparable basis.
What service categories does Texas publish?
Physician (6,550 codes), Lab & Imaging (2,128 codes), DME & Supplies (1,910 codes), Drugs (834 codes), Vision (143 codes), Behavioral Health (31 codes), Hearing (13 codes), Transport (18 codes), State-Specific Services (345 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Texas's currently published fee schedules, the newest effective Jun 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.