District of Columbia Medicaid reimbursement rates
87,654 current fee-for-service and managed-care rates from District of Columbia Medicaid, across 99 services and 7 programs, normalized by code, provider level and unit. Each links to one of 29 official source documents.
Last retrieved 2026-10-05. History back to 1978-12-31.
- Current rates
- 87,654
- Services
- 99
- Programs
- 7
- Lines with a plan rule
- 4of 8 service lines
By industry
Applied behavior analysis (ABA)District of Columbia rates, labor costs and changesBehavioral healthDistrict of Columbia rates, labor costs and changesHome healthDistrict of Columbia rates, labor costs and changesHome care & personal careDistrict of Columbia rates, labor costs and changesPrivate duty nursingDistrict of Columbia rates, labor costs and changesSkilled nursing facilitiesDistrict of Columbia rates, labor costs and changesHospiceDistrict of Columbia rates, labor costs and changesIntellectual & developmental disabilitiesDistrict of Columbia rates, labor costs and changesOutpatient therapy (PT, OT, speech)District of Columbia rates, labor costs and changes
District of Columbia 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 District of Columbia
Where District of Columbia ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | District of Columbia | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $119.65 | $88.19 | 9 of 50 |
| 10006 | Physician and practitioner services (fee schedule) | $53.22 | $46.23 | 11 of 50 |
| 10007 | Physician and practitioner services (fee schedule) | $318.22 | $203.95 | 7 of 50 |
| 10008 | Physician and practitioner services (fee schedule) | $129.08 | $95.09 | 11 of 50 |
| 10009 | Physician and practitioner services (fee schedule) | $381.06 | $276.55 | 11 of 50 |
| 10010 | Physician and practitioner services (fee schedule) | $215.90 | $157.44 | 12 of 50 |
| 10021 | Physician and practitioner services (fee schedule) | $91.50 | $73.91 | 11 of 50 |
| 10030 | Physician and practitioner services (fee schedule) | $575.67 | $401.12 | 11 of 50 |
| 10060 | Physician and practitioner services (fee schedule) | $12.00 | $88.74 | 49 of 50 |
| 10061 | Physician and practitioner services (fee schedule) | $18.00 | $153.30 | 48 of 50 |
| 10080 | Physician and practitioner services (fee schedule) | $12.00 | $129.47 | 48 of 50 |
| 10081 | Physician and practitioner services (fee schedule) | $18.00 | $200.51 | 48 of 50 |
| 10120 | Physician and practitioner services (fee schedule) | $12.00 | $98.41 | 49 of 50 |
| 10121 | Physician and practitioner services (fee schedule) | $42.00 | $171.22 | 48 of 50 |
| 10140 | Physician and practitioner services (fee schedule) | $12.00 | $109.79 | 49 of 50 |
| 10160 | Physician and practitioner services (fee schedule) | $12.00 | $86.10 | 49 of 50 |
| 10180 | Physician and practitioner services (fee schedule) | $263.36 | $182.52 | 8 of 50 |
| 11000 | Physician and practitioner services (fee schedule) | $58.80 | $38.05 | 7 of 50 |
| 11001 | Physician and practitioner services (fee schedule) | $29.40 | $18.34 | 7 of 50 |
| 11004 | Physician and practitioner services (fee schedule) | $437.05 | $437.24 | 27 of 50 |
| 11005 | Physician and practitioner services (fee schedule) | $600.85 | $594.32 | 22 of 50 |
| 11006 | Physician and practitioner services (fee schedule) | $540.78 | $545.22 | 27 of 50 |
| 11008 | Physician and practitioner services (fee schedule) | $212.07 | $211.94 | 25 of 50 |
| 11010 | Physician and practitioner services (fee schedule) | $427.40 | $286.71 | 8 of 50 |
| 11011 | Physician and practitioner services (fee schedule) | $489.16 | $326.17 | 8 of 50 |
| 11012 | Physician and practitioner services (fee schedule) | $622.67 | $442.71 | 8 of 50 |
| 11042 | Physician and practitioner services (fee schedule) | $121.49 | $84.55 | 8 of 50 |
| 11043 | Physician and practitioner services (fee schedule) | $193.00 | $167.89 | 18 of 50 |
| 11044 | Physician and practitioner services (fee schedule) | $220.00 | $227.02 | 27 of 50 |
| 11055 | Physician and practitioner services (fee schedule) | $64.92 | $40.24 | 9 of 50 |
| 11056 | Physician and practitioner services (fee schedule) | $53.98 | $47.35 | 19 of 50 |
| 11057 | Physician and practitioner services (fee schedule) | $81.55 | $52.53 | 9 of 50 |
| 11102 | Physician and practitioner services (fee schedule) | $87.80 | $71.28 | 10 of 50 |
| 11103 | Physician and practitioner services (fee schedule) | $44.66 | $36.83 | 12 of 50 |
| 11104 | Physician and practitioner services (fee schedule) | $111.42 | $84.93 | 11 of 50 |
| 11105 | Physician and practitioner services (fee schedule) | $55.39 | $42.80 | 9 of 50 |
| 11106 | Physician and practitioner services (fee schedule) | $139.14 | $101.36 | 9 of 50 |
| 11107 | Physician and practitioner services (fee schedule) | $64.87 | $50.82 | 10 of 50 |
| 11300 | Physician and practitioner services (fee schedule) | $88.91 | $55.51 | 9 of 50 |
| 11301 | Physician and practitioner services (fee schedule) | $106.49 | $67.43 | 9 of 50 |
Managed care in District of Columbia
6 plans on record, 0 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does District of Columbia publish its Medicaid fee schedules?
District of Columbia publishes rates across 29 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does District of Columbia publish?
87,654 rates are current across 99 services and 7 programs, with 135,542 versions on record since 1978-12-31.
Do District of Columbia Medicaid managed-care plans pay the fee schedule?
For 4 of 8 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 District of Columbia rate cardYour codes, what District of Columbia pays, what plans must pay, and every change in 2026.