North Carolina Medicaid private duty nursing rates
North Carolina Medicaid pays $13.00 per 15 min. ($52.00 an hour) for private duty nursing (rn) delivered by a registered nurse, effective October 1, 2025, the 10th highest of 21 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)
- $13.00per 15 min. · $52.00/hr
- Rank among states
- 10 of 21+4.0% vs median
- Registered nurse median wage
- $40.56BLS May 2025
- North Carolina minimum wage
- $7.25
North Carolina private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.
| Service | Provider level | Code | NC rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | T1000 | $13.00 | 15 min. | $52.00 | 10 of 21 | $50.00/hr | $15.75 | $132.48 | 21 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | T1000 | $13.00 | 15 min. | $52.00 | 5 of 19 | $33.84/hr | $12.89 | $92.04 | 19 |
| Waiver nursing (RN) | Registered nurse | T1002 | $8.72 | 15 min | $34.88 | 17 of 18 | $66.32/hr | $32.64 | $14,040.00 | 18 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | T1003 | $3.48 | 15 min | $13.92 | 15 of 15 | $40.72/hr | $13.92 | $14,040.00 | 15 |
Private duty nursing (RN): where North Carolina ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Massachusetts | $33.12 | 15 min | $132.48 | 2024-08-01 |
| 2 | Georgia | $23.84 | 15 min | $95.36 | 2024-07-01 |
| 3 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 4 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 5 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 6 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 7 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 8 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 9 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 10 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 11 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 12 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 13 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 14 | Nebraska | $40.75 | hour | $40.75 | 2026-07-01 |
| 15 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 16 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 17 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 18 | Missouri | $8.01 | 15 min | $32.04 | 2016-07-08 |
| 19 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 20 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 21 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
What it costs to deliver in North Carolina
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | NC median | US median | vs US |
|---|---|---|---|
| Registered nurse | $40.56 | $46.90 | -13.5% |
| Licensed practical nurse | $30.42 | $30.96 | -1.7% |
Recent North Carolina private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Private Duty Nursing+*: 10/1/2025 rate reduction effective 2025-10-01 (posting 2025-10-01) | effective | -3.0% | 2025-10-01 |
| Private Duty Nursing+*: 10/1/2025 reduction reversed (rates restored) effective 2025-10-01 (posting 2026-04-06) | reversed | +3.1% | 2025-10-01 |
| S.L. 2023-134 (House Bill 259) Sec. 9E.12A: Increase Private Duty Nursing Rates | enacted | — | 2023-07-01 |
| Legislated Medicaid Provider Rate Increases: Skilled Nursing Facilities (SNF), Personal Care Services (PCS), and Private-Duty Nursing (PDN) | effective | — | 2023-07-01 |
| NC SPA 23-0027 public notice: Private Duty Nursing | proposed | — | 2023-07-01 |
| Private Duty Nursing+*: new rates effective 2023-07-01 (posting 2023-10-03) | effective | +15.6% | 2023-07-01 |
| NC SPA 23-0027 approved by CMS: Private Duty Nursing | approved_cms | — | 2023-07-01 |
| NC SPA 22-0007 public notice: 22-0007 1-Day Public Notice Private Duty Nursing | proposed | — | 2022-03-01 |
| S.L. 2021-180 (Senate Bill 105) Sec. 9D.15B: Increase Private Duty Nursing Rates | enacted | — | 2022-01-01 |
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 North Carolina'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.