Texas Medicaid private duty nursing rates
Texas Medicaid pays $10.22 per 15 min ($40.88 an hour) for private duty nursing (rn) delivered by a registered nurse, effective September 1, 2023, the 26th highest of 38 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)
- $10.22per 15 min · $40.88/hr
- Rank among states
- 26 of 38-21.8% vs median
- Registered nurse median wage
- $46.14BLS May 2025
- Texas minimum wage
- $7.25
Texas private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Texas's official fee schedule.
| Service | Provider level | Code | TX rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | T1000 | $10.22 | 15 min | $40.88 | 26 of 38 | $52.26/hr | $8.92 | $254.03 | 38 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | T1000 | $8.46 | 15 min | $33.84 | 22 of 35 | $42.26/hr | $8.92 | $704.00 | 35 |
| Waiver nursing (RN) | Registered nurse | S9123 | $43.39 | hour | $43.39 | 31 of 35 | $77.60/hr | $19.08 | $14,040.00 | 35 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | S9124 | $29.69 | hour | $29.69 | 25 of 30 | $53.08/hr | $12.68 | $14,040.00 | 30 |
Private duty nursing (RN): where Texas 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 | Montana | $21.86 | 15 min | $87.44 | 2025-07-01 |
| 5 | Iowa | $80.00 | hour | $80.00 | 2016-01-01 |
| 6 | Idaho | $19.56 | 15 min | $78.24 | 2025-09-01 |
| 7 | New Hampshire | $75.84 | hour | $75.84 | 2024-01-01 |
| 8 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 9 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 10 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 11 | Louisiana | $65.46 | hour | $65.46 | 2023-04-03 |
| 12 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 13 | Nevada | $64.00 | hour | $64.00 | 2023-07-01 |
| 14 | Oregon | $15.49 | 15 min | $61.96 | 2023-07-01 |
| 15 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 16 | Missouri | $15.20 | 15 min | $60.80 | 2024-07-01 |
| 17 | Vermont | $14.86 | 15 min | $59.44 | 2024-07-01 |
| 18 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 19 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 20 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 21 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 22 | Connecticut | $49.27 | hour | $49.27 | 2021-07-01 |
| 23 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 24 | South Carolina | $47.00 | hour | $47.00 | 2025-11-01 |
| 25 | West Virginia | $11.02 | 15 min | $44.08 | 2026-04-01 |
| 26 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 27 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 28 | Nebraska | $36.82 | hour | $36.82 | 2026-07-01 |
| 29 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 30 | Maine | $9.06 | 15 min | $36.24 | 2026-01-01 |
| 31 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 32 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 33 | Mississippi | $29.33 | hour | $29.33 | 2022-10-01 |
| 34 | Arkansas | $28.00 | hour | $28.00 | 2025-06-04 |
| 35 | Kansas | $26.00 | hour | $26.00 | 2002-07-01 |
| 36 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 37 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
| 38 | Oklahoma | $2.23 | 15 min | $8.92 | 2026-01-01 |
What it costs to deliver in Texas
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | TX median | US median | vs US |
|---|---|---|---|
| Registered nurse | $46.14 | $46.90 | -1.6% |
| Licensed practical nurse | $29.92 | $30.96 | -3.4% |
Recent Texas private duty nursing rate changes
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 Texas'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.