T1004 Medicaid reimbursement rate by state (2026)
Services of a qualified nursing aide, up to 15 minutes. Medicaid pays a median of $8.23 for T1004 across 19 states, from $0.80 in Florida to $32.10 in Illinois.
- States publishing
- 19
- National median
- $8.23units vary by state
- Lowest
- $0.80Florida
- Highest
- $32.10Illinois
- Median per hour
- $32.1019 time-based states
What does Medicaid pay for T1004?
19 state Medicaid programs publish a fee-for-service rate for T1004. The national median is $8.23 (units differ between states). Illinois pays the most, $32.10 per hour, and Florida the least, $0.80 per 15 min, a 40.1x spread. Converted to an hour of service in the 19 states that bill it by time, the median is $32.10 per hour.
T1004 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T1004?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $8.23. Illinois pays the most ($32.10 per hour) and Florida the least ($0.80 per 15 min).
Which state pays the highest Medicaid rate for T1004?
Illinois, at $32.10 per hour ($32.10 per hour), effective 2025-01-01.
Do managed-care plans pay the same rate for T1004?
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.