Colorado Medicaid reimbursement rates
46,090 current fee-for-service and managed-care rates from Colorado Medicaid, across 124 services and 20 programs, normalized by code, provider level and unit. Each links to one of 116 official source documents.
Last retrieved 2026-10-05. History back to 2011-07-01.
- Current rates
- 46,090
- Services
- 124
- Programs
- 20
- Lines with a plan rule
- 5of 20 service lines
By industry
Applied behavior analysis (ABA)Colorado rates, labor costs and changesBehavioral healthColorado rates, labor costs and changesHome healthColorado rates, labor costs and changesHome care & personal careColorado rates, labor costs and changesPrivate duty nursingColorado rates, labor costs and changesSkilled nursing facilitiesColorado rates, labor costs and changesHospiceColorado rates, labor costs and changesIntellectual & developmental disabilitiesColorado rates, labor costs and changesOutpatient therapy (PT, OT, speech)Colorado rates, labor costs and changes
Colorado rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Colorado
Where Colorado ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Colorado | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $77.78 | $85.55 | 30 of 48 |
| 10006 | Physician and practitioner services (fee schedule) | $39.90 | $45.64 | 35 of 48 |
| 10007 | Physician and practitioner services (fee schedule) | $87.22 | $186.96 | 32 of 48 |
| 10008 | Physician and practitioner services (fee schedule) | $59.50 | $92.51 | 32 of 48 |
| 10009 | Physician and practitioner services (fee schedule) | $107.07 | $273.41 | 33 of 48 |
| 10010 | Physician and practitioner services (fee schedule) | $77.62 | $153.30 | 33 of 48 |
| 10021 | Physician and practitioner services (fee schedule) | $70.01 | $71.68 | 25 of 48 |
| 10030 | Physician and practitioner services (fee schedule) | $140.37 | $382.62 | 30 of 48 |
| 10060 | Physician and practitioner services (fee schedule) | $90.48 | $88.74 | 23 of 48 |
| 10061 | Physician and practitioner services (fee schedule) | $150.46 | $153.30 | 26 of 48 |
| 10080 | Physician and practitioner services (fee schedule) | $100.82 | $129.47 | 29 of 48 |
| 10081 | Physician and practitioner services (fee schedule) | $148.38 | $200.51 | 32 of 48 |
| 10120 | Physician and practitioner services (fee schedule) | $96.49 | $98.41 | 25 of 48 |
| 10121 | Physician and practitioner services (fee schedule) | $157.56 | $171.22 | 30 of 48 |
| 10140 | Physician and practitioner services (fee schedule) | $105.16 | $109.79 | 27 of 48 |
| 10160 | Physician and practitioner services (fee schedule) | $83.69 | $86.10 | 26 of 48 |
| 10180 | Physician and practitioner services (fee schedule) | $148.10 | $181.20 | 34 of 48 |
| 11000 | Physician and practitioner services (fee schedule) | $35.81 | $37.55 | 28 of 48 |
| 11001 | Physician and practitioner services (fee schedule) | $7.49 | $17.78 | 44 of 48 |
| 11004 | Physician and practitioner services (fee schedule) | $442.04 | $437.24 | 22 of 48 |
| 11005 | Physician and practitioner services (fee schedule) | $599.28 | $593.30 | 22 of 48 |
| 11006 | Physician and practitioner services (fee schedule) | $557.09 | $545.22 | 20 of 48 |
| 11008 | Physician and practitioner services (fee schedule) | $216.55 | $210.47 | 20 of 48 |
| 11010 | Physician and practitioner services (fee schedule) | $281.19 | $279.22 | 24 of 48 |
| 11011 | Physician and practitioner services (fee schedule) | $291.14 | $321.34 | 28 of 48 |
| 11012 | Physician and practitioner services (fee schedule) | $410.35 | $431.82 | 27 of 48 |
| 11042 | Physician and practitioner services (fee schedule) | $61.37 | $82.72 | 31 of 48 |
| 11043 | Physician and practitioner services (fee schedule) | $130.02 | $165.09 | 39 of 48 |
| 11044 | Physician and practitioner services (fee schedule) | $181.09 | $227.02 | 38 of 48 |
| 11055 | Physician and practitioner services (fee schedule) | $38.74 | $38.32 | 24 of 48 |
| 11056 | Physician and practitioner services (fee schedule) | $44.30 | $45.25 | 25 of 48 |
| 11057 | Physician and practitioner services (fee schedule) | $50.02 | $50.83 | 25 of 48 |
| 11102 | Physician and practitioner services (fee schedule) | $80.13 | $70.00 | 15 of 48 |
| 11103 | Physician and practitioner services (fee schedule) | $39.73 | $36.04 | 17 of 48 |
| 11104 | Physician and practitioner services (fee schedule) | $93.75 | $82.45 | 20 of 48 |
| 11105 | Physician and practitioner services (fee schedule) | $43.07 | $42.01 | 23 of 48 |
| 11106 | Physician and practitioner services (fee schedule) | $111.49 | $100.59 | 21 of 48 |
| 11107 | Physician and practitioner services (fee schedule) | $51.46 | $48.97 | 23 of 48 |
| 11300 | Physician and practitioner services (fee schedule) | $81.46 | $49.39 | 10 of 48 |
| 11301 | Physician and practitioner services (fee schedule) | $96.94 | $63.36 | 11 of 48 |
Managed care in Colorado
24 plans on record, 0 state-directed payment records, 372 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
| Notice | Status | Effective |
|---|---|---|
| BHST Rates (07/26) | effective | 2026-07-01 |
| Behavioral Health Fee-for-Service Rates FY 26/27 Effective 7/1/2026 | effective | 2026-07-01 |
| Community First Choice rate schedule Community First Choice Rates Effective 7/1/2026 | effective | 2026-07-01 |
| HCBS waiver rate schedule CwCHN, CHRP (effective July 1, 2026) | effective | 2026-07-01 |
| HCBS waiver rate schedule DD, SLS, CES (effective July 1, 2026) | effective | 2026-07-01 |
| HCBS waiver rate schedule EBD, CMHS, BI, CIH (effective July 1, 2026) | effective | 2026-07-01 |
| Home Health fee schedule Home Health (07/26) | effective | 2026-07-01 |
| Integrated Care Fee Schedule FY26-27 | effective | 2026-07-01 |
| July 2026 Outpatient Substance Abuse Fee Schedule | effective | 2026-07-01 |
| Private Duty Nursing fee schedule PDN (07/26) | effective | 2026-07-01 |
| Psychiatric Residential Treatment Facility fee schedule Psychiatric Residential Child Care Facility Rates (07/26) | effective | 2026-07-01 |
| Qualified Residential Treatment Program fee schedule July 2026 QRTP Rate Schedule | effective | 2026-07-01 |
Frequently asked questions
Where does Colorado publish its Medicaid fee schedules?
Colorado publishes rates across 116 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Colorado publish?
46,090 rates are current across 124 services and 20 programs, with 248,655 versions on record since 2011-07-01.
Do Colorado Medicaid managed-care plans pay the fee schedule?
For 5 of 20 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
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Your Colorado rate cardYour codes, what Colorado pays, what plans must pay, and every change in 2026.