Skip to content

L1230 Medicaid reimbursement rate by state (2026)

Addition to tlso, (low profile). Medicaid pays a median of $547.74 for L1230 across 50 states, from $139.61 in California to $914.88 in North Dakota.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
50
National median
$547.74units vary by state
Lowest
$139.61California
Highest
$914.88North Dakota

What does Medicaid pay for L1230?

50 state Medicaid programs publish a fee-for-service rate for L1230 at the nurse midwife level. The national median is $547.74 (units differ between states). North Dakota pays the most, $914.88, and California the least, $139.61, a 6.6x spread.

L1230 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$914.88——Not classified—
2Montana Source · since 2026-01-01$868.28——Not classified—
3Minnesota Source · since 2026-01-01$819.86——Plans negotiate; applies out of network—
25Nebraska Source · since 2026-07-01$560.86——Plans negotiate; applies out of network—
26Wyoming Source · since 2021-01-01$534.62——Not classified—
27Nevada Source · since 2017-01-01$529.10——Plans negotiate; applies out of network—
49Missouri Source · since 2019-07-01$216.35——Plans negotiate; applies out of network—
50California Source · since 2026-10-01$139.61——Plans negotiate; applies out of network—
See all 50 states for L1230 — start free

42 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.

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 L1230 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L1230?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $547.74. North Dakota pays the most ($914.88) and California the least ($139.61).

Which state pays the highest Medicaid rate for L1230?

North Dakota, at $914.88, effective 2026-07-01.

Do managed-care plans pay the same rate for L1230?

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.