Texas Medicaid Fee Schedule

Texas publishes 11,975 Medicaid fee-for-service rates across 10 service categories. Pooled across categories with a national Medicare comparator, Texas's published rates run a median 84.1% of the Medicare amount, ranking 21 of 49 jurisdictions with a comparable basis.

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These 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
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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Texas's published schedules by category

Physician

6,550codes

See the schedule →

Lab & Imaging

2,128codes

See the schedule →

DME & Supplies

1,910codes

See the schedule →

Drugs

834codes

See the schedule →

Other Services

345codes

See the schedule →

Vision

143codes

See the schedule →

Behavioral Health

31codes

See the schedule →

Transport

18codes

See the schedule →

Hearing

13codes

See the schedule →

Anesthesia

3codes

See the schedule →

Dental

Texas'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 Texas publish a Medicaid fee schedule?

Yes. Texas publishes 11,975 Medicaid fee-for-service procedure rates across 10 service categories, all collected and normalized here with plain-language procedure names.

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 21 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), Other Services (345 codes), Vision (143 codes), Behavioral Health (31 codes), Transport (18 codes), Hearing (13 codes), Anesthesia (3 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 and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.