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South Dakota Medicaid therapy rates

South Dakota Medicaid pays $27.83 per 15 min ($111.32 an hour) for physical therapy delivered by a physical therapist, effective July 1, 2026, the 13th highest of 49 states with comparable rates. Below: 5 more therapy rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.

Physical therapy
$27.83per 15 min · $111.32/hr
Rank among states
13 of 49+15.9% vs median
Physical therapist median wage
$44.55BLS May 2025
South Dakota minimum wage
$11.85

South Dakota therapy rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open South Dakota's official fee schedule.

ServiceProvider levelCodeSD rateUnitPer hourRankMedian across statesLowestHighestStates
Physical therapyPhysical therapist97110$27.8315 min$111.3213 of 49$96.04/hr$46.64$176.6849
Occupational therapyOccupational therapist97530$33.6415 min$134.5612 of 48$110.60/hr$31.56$338.7248
Speech-language therapySpeech-language pathologist92507$73.27——8 of 38$63.01$19.57$142.1438
Physical therapy evaluationPhysical therapist97161$94.23——11 of 46$80.39$10.27$149.6546
Occupational therapy evaluationOccupational therapist97165$96.80——11 of 45$83.34$19.63$153.0245
Speech-language evaluationSpeech-language pathologist92522$107.12——11 of 45$90.36$22.93$173.2645

Physical therapy: where South Dakota ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1Alaska$44.1715 min$176.682026-07-01
2New Mexico$41.4115 min$165.642025-01-01
3Montana$36.7615 min$147.042026-07-01
4Texas$33.7515 min$135.002017-09-01
5North Dakota$32.2915 min$129.162026-07-01
6Hawaii$30.7215 min$122.882026-06-01
7Utah$29.9315 min$119.722026-07-01
8Wyoming$28.7515 min$115.002026-07-01
9Delaware$28.3615 min$113.442026-01-01
10Tennessee$28.2515 min$113.002025-07-01
11Nevada$28.1915 min$112.762017-01-01
12Maryland$27.8515 min$111.402026-01-01
13South Dakota$27.8315 min$111.322026-07-01
14Nebraska$27.4215 min$109.682026-07-01
15Oklahoma$26.0015 min$104.002024-10-01
16District of Columbia$25.8815 min$103.522026-01-01
17Missouri$25.5615 min$102.242026-07-01
18Virginia$25.1715 min$100.682026-07-01
19New Hampshire$24.9515 min$99.802023-07-01
20Kansas$24.7915 min$99.162024-08-01
21Colorado$24.6515 min$98.602026-07-01
22Rhode Island$24.5815 min$98.322026-10-01
23Vermont$24.4715 min$97.882026-01-01
24Mississippi$24.3615 min$97.442026-07-01
25Idaho$24.0115 min$96.042026-07-01
26Oregon$23.4915 min$93.962026-02-01
27North Carolina$23.3715 min$93.482025-10-01
28Louisiana$23.0015 min$92.002025-11-18
29Massachusetts$22.6715 min$90.682025-06-06
30Iowa$22.6515 min$90.602020-05-01
31Connecticut$22.4615 min$89.842026-01-01
32Minnesota$22.3815 min$89.522026-02-01
33Arkansas$21.7615 min$87.042024-04-03
34Illinois$21.6315 min$86.522024-04-01
35Michigan$20.8715 min$83.482026-01-01
36Wisconsin$20.2915 min$81.162022-01-01
37Georgia$20.0715 min$80.282017-01-01
38Washington$19.8715 min$79.482026-10-01
39West Virginia$19.7615 min$79.042026-04-01
40Ohio$18.5015 min$74.002020-06-12
41Indiana$18.1215 min$72.482014-01-01
42New York$18.0515 min$72.202023-10-01
43Florida$17.9615 min$71.842026-07-01
44South Carolina$17.8215 min$71.282017-07-01
45Kentucky$17.5415 min$70.162026-01-01
46Pennsylvania$16.7515 min$67.002021-09-01
47New Jersey$14.7015 min$58.802026-07-01
48California$12.2215 min$48.882026-10-01
49Maine$11.6615 min$46.642026-01-01

What it costs to deliver in South Dakota

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleSD medianUS medianvs US
Physical therapist$44.55$49.40-9.8%
Occupational therapist$40.89$48.24-15.2%
Speech-language pathologist$31.58$47.05-32.9%
Physical therapist assistant$23.71$32.88-27.9%
Occupational therapy assistant$27.01$34.76-22.3%
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Rates are taken from South Dakota'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.

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