Alabama Medicaid private duty nursing rates
Alabama Medicaid pays $36.40 per hour for waiver nursing (rn) delivered by a registered nurse, effective December 17, 2020. Below: 1 more private duty nursing rate compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Waiver nursing (RN)
- $36.40per hour
- Rank among states
- —
- Registered nurse median wage
- $37.06BLS May 2025
- Alabama minimum wage
- $7.25
Alabama private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Alabama's official fee schedule.
| Service | Provider level | Code | AL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | Not published | $54.84/hr | $8.92 | $254.03 | 41 | ||||
| Private duty nursing (LPN) | Licensed practical / vocational nurse | Not published | $46.13/hr | $8.92 | $704.00 | 38 | ||||
| Waiver nursing (RN) | Registered nurse | S9123 | $36.40 | hour | — | — | $77.92/hr | $19.08 | $14,040.00 | 38 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | S9124 | $20.80 | hour | — | — | $56.42/hr | $12.68 | $14,040.00 | 32 |
Waiver nursing (RN): where Alabama ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Jersey | $3,510.00 | 15 min | $14,040.00 | 2025-12-01 |
| 2 | Georgia | $36.68 | 15 min | $146.72 | 2025-04-01 |
| 3 | Vermont | $31.46 | 15 min | $125.84 | 2025-10-01 |
| 4 | Maryland | $30.77 | 15 min | $123.08 | 2025-10-06 |
| 5 | Utah | $30.00 | 15 min | $120.00 | 2017-04-01 |
| 6 | New Mexico | $29.76 | 15 min | $119.04 | 2026-07-01 |
| 7 | Hawaii | $28.98 | 15 min | $115.92 | 2026-01-01 |
| 8 | Nevada | $28.00 | 15 min | $112.00 | 2020-01-01 |
| 9 | Rhode Island | $26.77 | 15 min | $107.08 | 2026-10-01 |
| 10 | Washington | $25.00 | 15 min | $100.00 | 2020-01-01 |
| 11 | Wisconsin | $25.00 | 15 min | $100.00 | 2018-01-01 |
| 12 | Connecticut | $24.63 | 15 min | $98.52 | 2021-07-01 |
| 13 | Oregon | $23.63 | 15 min | $94.52 | 2026-07-01 |
| 14 | Virginia | $22.73 | 15 min | $90.92 | 2026-07-01 |
| 15 | Iowa | $21.00 | 15 min | $84.00 | 2012-06-11 |
| 16 | West Virginia | $20.70 | 15 min | $82.80 | 2025-10-01 |
| 17 | Missouri | $19.90 | 15 min | $79.60 | 2019-07-01 |
| 18 | Montana | $19.88 | 15 min | $79.52 | 2025-07-01 |
| 19 | Idaho | $19.56 | 15 min | $78.24 | 2026-07-01 |
| 20 | Arizona | $19.40 | 15 min | $77.60 | 2026-10-01 |
| 21 | Delaware | $19.00 | 15 min | $76.00 | 2024-01-01 |
| 22 | Mississippi | $18.45 | 15 min | $73.80 | 2021-07-01 |
| 23 | Kentucky | $15.99 | 15 min | $63.96 | 2025-01-01 |
| 24 | New Hampshire | $15.41 | 15 min | $61.64 | 2023-07-01 |
| 25 | Kansas | $15.00 | 15 min | $60.00 | 2002-01-01 |
| 26 | Michigan | $13.76 | 15 min | $55.04 | 2019-01-01 |
| 27 | Minnesota | $13.26 | 15 min | $53.04 | 2026-01-01 |
| 28 | Tennessee | $13.09 | 15 min | $52.36 | 2025-07-01 |
| 29 | South Carolina | $12.50 | 15 min | $50.00 | 2025-11-01 |
| 30 | California | $12.08 | 15 min | $48.32 | 2026-10-01 |
| 31 | Louisiana | $11.40 | 15 min | $45.60 | 2026-10-01 |
| 32 | Illinois | $45.00 | hour | $45.00 | 2026-01-01 |
| 33 | Oklahoma | $11.00 | 15 min | $44.00 | 2024-10-01 |
| 34 | Texas | $43.39 | hour | $43.39 | 2025-09-01 |
| 35 | Ohio | $9.25 | 15 min | $37.00 | 2025-07-01 |
| 36 | North Carolina | $8.72 | 15 min | $34.88 | 2025-10-01 |
| 37 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 38 | Arkansas | $4.77 | 15 min | $19.08 | 2024-12-04 |
What it costs to deliver in Alabama
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | AL median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.06 | $46.90 | -21.0% |
| Licensed practical nurse | $27.42 | $30.96 | -11.4% |
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Alabama's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.