District of Columbia Medicaid private duty nursing rates
District of Columbia Medicaid pays $28.00 per hour for private duty nursing (rn) delivered by a registered nurse, effective September 1, 2003, the 39th highest of 43 states with comparable rates. Below: 3 more private duty nursing rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Private duty nursing (RN)
- $28.00per hour
- Rank among states
- 39 of 43-48.9% vs median
- Registered nurse median wage
- $49.30BLS May 2025
- District of Columbia minimum wage
- $18.40
District of Columbia private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open District of Columbia's official fee schedule.
| Service | Provider level | Code | DC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | S9123 | $28.00 | hour | $28.00 | 39 of 43 | $54.84/hr | $8.92 | $254.03 | 43 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | S9124 | $20.00 | hour | $20.00 | 36 of 40 | $46.13/hr | $8.92 | $704.00 | 40 |
| Waiver nursing (RN) | Registered nurse | T1002 | $19.40 | 15 min | $77.60 | 23 of 42 | $77.92/hr | $19.08 | $14,040.00 | 42 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | T1003 | $16.15 | 15 min | $64.60 | 14 of 35 | $56.68/hr | $12.68 | $14,040.00 | 35 |
Private duty nursing (RN): where District of Columbia ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Utah | $254.03 | hour | $254.03 | 2026-07-01 |
| 2 | Massachusetts | $32.66 | 15 min | $130.64 | 2024-08-01 |
| 3 | Georgia | $23.84 | 15 min | $95.36 | 2024-07-01 |
| 4 | Rhode Island | $23.60 | 15 min | $94.40 | 2026-10-01 |
| 5 | Hawaii | $23.51 | 15 min | $94.04 | 2026-01-01 |
| 6 | South Dakota | $92.80 | hour | $92.80 | 2026-07-01 |
| 7 | Montana | $21.86 | 15 min | $87.44 | 2025-07-01 |
| 8 | Iowa | $80.00 | hour | $80.00 | 2016-01-01 |
| 9 | Idaho | $19.56 | 15 min | $78.24 | 2025-09-01 |
| 10 | New Hampshire | $75.84 | hour | $75.84 | 2024-01-01 |
| 11 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 12 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 13 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 14 | Louisiana | $65.46 | hour | $65.46 | 2023-04-03 |
| 15 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 16 | Nevada | $64.00 | hour | $64.00 | 2023-07-01 |
| 17 | Delaware | $63.67 | hour | $63.67 | 2024-01-01 |
| 18 | Oregon | $15.49 | 15 min | $61.96 | 2023-07-01 |
| 19 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 20 | Missouri | $15.20 | 15 min | $60.80 | 2024-07-01 |
| 21 | Vermont | $14.86 | 15 min | $59.44 | 2024-07-01 |
| 22 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 23 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 24 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 25 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 26 | Connecticut | $49.27 | hour | $49.27 | 2021-07-01 |
| 27 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 28 | South Carolina | $47.00 | hour | $47.00 | 2025-11-01 |
| 29 | West Virginia | $11.02 | 15 min | $44.08 | 2026-04-01 |
| 30 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 31 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 32 | Nebraska | $36.82 | hour | $36.82 | 2026-07-01 |
| 33 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 34 | Maine | $9.06 | 15 min | $36.24 | 2026-01-01 |
| 35 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 36 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 37 | Mississippi | $29.33 | hour | $29.33 | 2022-10-01 |
| 38 | Arkansas | $28.00 | hour | $28.00 | 2025-06-04 |
| 39 | District of Columbia | $28.00 | hour | $28.00 | 2003-09-01 |
| 40 | Kansas | $26.00 | hour | $26.00 | 2002-07-01 |
| 41 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 42 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
| 43 | Oklahoma | $2.23 | 15 min | $8.92 | 2026-01-01 |
What it costs to deliver in District of Columbia
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | DC median | US median | vs US |
|---|---|---|---|
| Registered nurse | $49.30 | $46.90 | +5.1% |
| Licensed practical nurse | $36.42 | $30.96 | +17.6% |
Recent District of Columbia private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Transmittal 26-25 - Skilled Nursing Rate Changes Effective October 1, 2026 | effective | — | 2026-10-01 |
| Transmittal 23-42 - Skilled Nursing Rate Changes Effective October 1, 2023 | effective | — | 2023-10-01 |
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 District of Columbia'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.