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Billing code S5110 · Private duty nursing

S5110 Medicaid reimbursement rate by state (2026)

Home care training, family; per 15 minutes. Medicaid pays a median of $6.33 for S5110 across 8 states, from $3.23 in Louisiana to $27.26 in Idaho.

Data as of Oct 5, 20268 statesEvery rate links to its official source

States publishing
8
National median
$6.33units vary by state
Lowest
$3.23Louisiana
Highest
$27.26Idaho
Median per hour
$31.207 time-based states
Answer

What does Medicaid pay for S5110?

8 state Medicaid programs publish a fee-for-service rate for S5110. The national median is $6.33 (units differ between states). Idaho pays the most, $27.26 per 15 min, and Louisiana the least, $3.23 per 15 min., a 8.4x spread. Converted to an hour of service in the 7 states that bill it by time, the median is $31.20 per hour.

State ranking

S5110 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Idaho Source · since 2018-07-01$27.2615 min$109.04Not classified—
2Iowa Source · since 2016-01-01$25.0015 min$100.00Plans must pay at least this—
3California Source · since 2026-10-01$11.3615 min$45.44Plans negotiate; applies out of network—
7Missouri Source · since 2023-07-01$4.0415 min$16.16Paid by the state, outside plans—
8Louisiana Source · since 2024-01-01$3.2315 min.—Plans must pay at least this—
See all 8 states for S5110 — start free

3 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.

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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 S5110 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 S5110?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $6.33. Idaho pays the most ($27.26 per 15 min) and Louisiana the least ($3.23 per 15 min.).

Which state pays the highest Medicaid rate for S5110?

Idaho, at $27.26 per 15 min ($109.04 per hour), effective 2018-07-01.

Do managed-care plans pay the same rate for S5110?

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.