Tennessee Medicaid private duty nursing rates
Tennessee Medicaid pays $13.09 per 15 min ($52.36 an hour) for waiver nursing (rn) delivered by a registered nurse, effective July 1, 2025, the 12th highest of 18 states with comparable rates. 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)
- $13.09per 15 min · $52.36/hr
- Rank among states
- 12 of 18-21.0% vs median
- Registered nurse median wage
- $39.18BLS May 2025
- Tennessee minimum wage
- $7.25
Tennessee private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Tennessee's official fee schedule.
| Service | Provider level | Code | TN rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | Not published | $50.00/hr | $15.75 | $132.48 | 21 | ||||
| Private duty nursing (LPN) | Licensed practical / vocational nurse | Not published | $33.84/hr | $12.89 | $92.04 | 19 | ||||
| Waiver nursing (RN) | Registered nurse | T1002 | $13.09 | 15 min | $52.36 | 12 of 18 | $66.32/hr | $32.64 | $14,040.00 | 18 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | T1003 | $9.23 | 15 min | $36.92 | 10 of 15 | $40.72/hr | $13.92 | $14,040.00 | 15 |
Waiver nursing (RN): where Tennessee 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 | Pennsylvania | $51.98 | 15 min | $207.92 | 2012-10-01 |
| 3 | Georgia | $36.68 | 15 min | $146.72 | 2025-04-01 |
| 4 | Maryland | $30.77 | 15 min | $123.08 | 2025-10-06 |
| 5 | Washington | $25.00 | 15 min | $100.00 | 2020-01-01 |
| 6 | Wisconsin | $25.00 | 15 min | $100.00 | 2018-01-01 |
| 7 | Missouri | $20.29 | 15 min | $81.16 | 2022-07-01 |
| 8 | Virginia | $19.85 | 15 min | $79.40 | 2026-07-01 |
| 9 | Arizona | $19.40 | 15 min | $77.60 | 2026-10-01 |
| 10 | Michigan | $13.76 | 15 min | $55.04 | 2019-01-01 |
| 11 | Minnesota | $13.26 | 15 min | $53.04 | 2026-01-01 |
| 12 | Tennessee | $13.09 | 15 min | $52.36 | 2025-07-01 |
| 13 | California | $12.08 | 15 min | $48.32 | 2026-10-01 |
| 14 | Illinois | $45.00 | hour | $45.00 | 2026-01-01 |
| 15 | Texas | $43.39 | hour | $43.39 | 2025-09-01 |
| 16 | Ohio | $9.25 | 15 min | $37.00 | 2025-07-01 |
| 17 | North Carolina | $8.72 | 15 min | $34.88 | 2025-10-01 |
| 18 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
What it costs to deliver in Tennessee
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | TN median | US median | vs US |
|---|---|---|---|
| Registered nurse | $39.18 | $46.90 | -16.5% |
| Licensed practical nurse | $28.31 | $30.96 | -8.6% |
Recent Tennessee private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Notice of Change in TennCare II Demonstration | proposed | — | — |
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 Tennessee'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.