Skip to content
Billing code 90999 · Other

90999 Medicaid reimbursement rate by state (2026)

Dialysis facility composite rate (per treatment). Medicaid pays a median of $145.13 for 90999 across 13 states, from $70.87 in Florida to $550.35 in South Dakota.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$145.13units vary by state
Lowest
$70.87Florida
Highest
$550.35South Dakota
Answer

What does Medicaid pay for 90999?

13 state Medicaid programs publish a fee-for-service rate for 90999. The national median is $145.13 (units differ between states). South Dakota pays the most, $550.35, and Florida the least, $70.87, a 7.8x spread.

State ranking

90999 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-07-01$550.35——Not classified—
2Nevada Source · since 2026-01-01$284.72——Plans must pay at least this—
3Washington Source · since 2026-01-01$231.62Per Session—Plans negotiate; applies out of network—
6Vermont Source · since 2026-02-01$157.76——Not classified—
7Idaho Source · since 2025-09-01$145.13——Not classified—
8Maine Source · since 2026-01-01$142.15——Not classified—
12Indiana Source · since 2026-01-01$87.66unit—Plans must pay at least this—
13Florida Source · since 2026-01-01$70.87——Plans negotiate; applies out of network—
See all 13 states for 90999 — start free

5 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

  • Source for every rate
  • Full rate history
  • CSV and API export

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 90999 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 90999?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $145.13. South Dakota pays the most ($550.35) and Florida the least ($70.87).

Which state pays the highest Medicaid rate for 90999?

South Dakota, at $550.35, effective 2026-07-01.

Do managed-care plans pay the same rate for 90999?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.