What Medicaid Pays
Look up what Medicaid pays for medical procedures and services, by state.
2024 Overview
States
54
Procedures
7.1K
Total Claims
2.7B
Total Paid
$181.7B
Explore Medicaid Rates by State
| State | Value |
|---|---|
| Alabama | $68.59 |
| Alaska | $155.55 |
| Arizona | $182.47 |
| Arkansas | $75.20 |
| California | $160.63 |
| Colorado | $125.01 |
| Connecticut | $160.66 |
| Delaware | $89.33 |
| District of Columbia | $128.69 |
| Florida | $73.02 |
| Georgia | $102.61 |
| Guam | $97.77 |
| Hawaii | $101.92 |
| Idaho | $64.20 |
| Illinois | $122.94 |
| Indiana | $124.50 |
| Iowa | $80.11 |
| Kansas | $62.22 |
| Kentucky | $141.48 |
| Louisiana | $67.50 |
| Maine | $119.97 |
| Maryland | $146.75 |
| Massachusetts | $135.78 |
| Michigan | $120.42 |
| Minnesota | $132.39 |
| Mississippi | $92.15 |
| Missouri | $94.75 |
| Montana | $78.93 |
| Nebraska | $80.51 |
| Nevada | $69.19 |
| New Hampshire | $90.67 |
| New Jersey | $115.80 |
| New Mexico | $139.79 |
| New York | $169.05 |
| North Carolina | $81.75 |
| North Dakota | $81.65 |
| Ohio | $162.17 |
| Oklahoma | $110.45 |
| Oregon | $121.05 |
| Pennsylvania | $129.69 |
| Puerto Rico | $216.46 |
| Rhode Island | $167.07 |
| South Carolina | $94.51 |
| South Dakota | $94.38 |
| Tennessee | $155.21 |
| Texas | $101.46 |
| U.S. Virgin Islands | $137.94 |
| Utah | $97.07 |
| Vermont | $106.77 |
| Virginia | $131.49 |
| Washington | $129.31 |
| West Virginia | $58.22 |
| Wisconsin | $78.02 |
| Wyoming | $59.11 |
Top 10 Procedures by Average Payment
| Name | Avg Payment |
|---|---|
| Unlisted special svc px/rprt | $273.74 |
| Clinic service | $170.72 |
| Attendant care service /15m | $158.62 |
| Personal care ser per 15 min | $140.29 |
| Office o/p est mod 30 min | $74.58 |
| Office o/p est low 20 min | $65.18 |
| Alcohol and/or drug services | $58.24 |
| Comprehen metabolic panel | $15.40 |
| Coll venous bld venipuncture | $6.84 |
| Complete cbc w/auto diff wbc | $6.25 |
Top 10 Procedures by Claims
| HCPCS Code | Description | Total Claims | Avg Payment |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | 174,827,861 | $140.29 |
| 99213 | Office o/p est low 20 min | 101,675,084 | $65.18 |
| 99214 | Office o/p est mod 30 min | 76,268,292 | $74.58 |
| S5125 | Attendant care service /15m | 75,067,766 | $158.62 |
| 99199 | Unlisted special svc px/rprt | 55,801,757 | $273.74 |
| T1015 | Clinic service | 46,261,689 | $170.72 |
| 85025 | Complete cbc w/auto diff wbc | 38,496,474 | $6.25 |
| 80053 | Comprehen metabolic panel | 33,025,312 | $15.40 |
| 36415 | Coll venous bld venipuncture | 31,587,014 | $6.84 |
| H0020 | Alcohol and/or drug services | 30,284,515 | $58.24 |
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