Every Medicaid rate and the rules behind it, state by state.
Fee-for-service rates, managed-care payment rules, directed payments and rate changes, normalized by code, program and provider level. Every number links to the official document it came from.
- States live
- 17
- Sourced rates
- 5,461,654
- Billing codes
- 30,237
Answers, not spreadsheets
Pick your state and your codes. See what you are paid, how it ranks, what changed and what is coming.
Rate card
Your billing codes in one state on one screen: rate, per-hour equivalent, managed-care rule, national rank and last change.
State comparison
One like-for-like rate per state for any code, with unit, modifier, provider-level and regional variants.
Rate history
Every published schedule, effective-dated, with the change from the prior rate.
Change monitoring
Public notices, plan amendments and budget actions, with status, effective date and comment deadline.
Revenue impact
Apply a proposed change, another state's schedule or a prior period to your service mix.
REST API
The same data and filters as the workspace. Every view shows its exact API request.
Most Medicaid dollars flow through plans. We show what binds them.
No managed-care plan publishes its provider fee schedule. What is public is what matters most in a negotiation: the rules plans must follow, the rates the state sets for them, and what the state adds on top. We capture all of it from plan contracts, statutes, notices and federal filings, and tag every rate with the rule that governs it.
See who sets the rate →- Binding rule
What plans must pay
Contract and statute floors, required pass-throughs of state increases, and state-set rates plans must use. Tagged on every rate it governs.
- State-set
Rates the state sets for plans
Services where the state fixes the rate, such as long-term services and supports, behavioral health and IDD in many states.
- Directed payment
What the state adds on top
Approved directed payments: uniform increases, minimum fee schedules and the state's own estimate of what plans pay compared with Medicare or commercial.
- Capitation
What the state pays plans
Per-member-per-month rates by region and rate cell, where states publish them.
- Roster
Which plans operate
Plans, programs, parent companies and enrollment by state.
State fee schedules, rate disclosures, provider bulletins, plan contracts and federal approvals. No estimates, no crowdsourcing.
Every schedule kept, so you can see the rate on any date of service and every change since.
Units, provider levels and add-ons matched before any state is ranked against another.
Priced for the decisions it informs
A single rate negotiation or avoided cut pays for a year. Annual plans save two months.
- One state, every service line
- Rate card for your billing codes
- Managed-care rules and directed payments
- Rate-change tracking (email alerts soon)
- CSV and PDF export
- Medicare comparison
- 3 seats
- Every covered state
- State comparison and benchmarks
- Full rate history
- Revenue impact modeling
- Labor-cost and margin views
- State and service reports (PDF)
- 10 seats
- Everything in Professional
- Unlimited seats
- Bulk data delivery
- Named analyst support
- SSO and custom report packs (coming soon)
- Full REST API, every endpoint
- Effective-dated rates and change events
- Coverage and prior-auth rules
- Production rate limits and SLA
Public state and industry rate pages are free. Browse by industry →