Idaho Medicaid reimbursement rates
23,716 current fee-for-service and managed-care rates from Idaho Medicaid, across 116 services and 10 programs, normalized by code, provider level and unit. Each links to one of 41 official source documents.
Last retrieved 2026-10-05. History back to 2008-01-01.
- Current rates
- 23,716
- Services
- 116
- Programs
- 10
- Lines with a plan rule
- 3of 8 service lines
By industry
Applied behavior analysis (ABA)Idaho rates, labor costs and changesBehavioral healthIdaho rates, labor costs and changesHome healthIdaho rates, labor costs and changesHome care & personal careIdaho rates, labor costs and changesPrivate duty nursingIdaho rates, labor costs and changesSkilled nursing facilitiesIdaho rates, labor costs and changesHospiceIdaho rates, labor costs and changesIntellectual & developmental disabilitiesIdaho rates, labor costs and changesOutpatient therapy (PT, OT, speech)Idaho rates, labor costs and changes
Idaho 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 Idaho
Where Idaho ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Idaho | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $106.22 | $88.19 | 17 of 50 |
| 10006 | Physician and practitioner services (fee schedule) | $48.63 | $46.23 | 19 of 50 |
| 10007 | Physician and practitioner services (fee schedule) | $274.31 | $203.95 | 13 of 50 |
| 10008 | Physician and practitioner services (fee schedule) | $113.03 | $95.09 | 21 of 50 |
| 10009 | Physician and practitioner services (fee schedule) | $330.01 | $276.55 | 20 of 50 |
| 10010 | Physician and practitioner services (fee schedule) | $187.92 | $157.44 | 21 of 50 |
| 10021 | Physician and practitioner services (fee schedule) | $80.68 | $73.91 | 22 of 50 |
| 10030 | Physician and practitioner services (fee schedule) | $495.23 | $401.12 | 19 of 50 |
| 10060 | Physician and practitioner services (fee schedule) | $103.29 | $88.74 | 16 of 50 |
| 10061 | Physician and practitioner services (fee schedule) | $176.22 | $153.30 | 17 of 50 |
| 10080 | Physician and practitioner services (fee schedule) | $214.43 | $129.47 | 12 of 50 |
| 10081 | Physician and practitioner services (fee schedule) | $301.58 | $200.51 | 13 of 50 |
| 10120 | Physician and practitioner services (fee schedule) | $125.99 | $98.41 | 14 of 50 |
| 10121 | Physician and practitioner services (fee schedule) | $220.03 | $171.22 | 15 of 50 |
| 10140 | Physician and practitioner services (fee schedule) | $139.43 | $109.79 | 14 of 50 |
| 10160 | Physician and practitioner services (fee schedule) | $105.36 | $86.10 | 16 of 50 |
| 10180 | Physician and practitioner services (fee schedule) | $227.85 | $182.52 | 15 of 50 |
| 11000 | Physician and practitioner services (fee schedule) | $47.71 | $38.05 | 15 of 50 |
| 11001 | Physician and practitioner services (fee schedule) | $21.79 | $18.34 | 17 of 50 |
| 11004 | Physician and practitioner services (fee schedule) | $398.13 | $437.24 | 33 of 50 |
| 11005 | Physician and practitioner services (fee schedule) | $538.19 | $594.32 | 34 of 50 |
| 11006 | Physician and practitioner services (fee schedule) | $489.05 | $545.22 | 33 of 50 |
| 11008 | Physician and practitioner services (fee schedule) | $189.48 | $211.94 | 35 of 50 |
| 11010 | Physician and practitioner services (fee schedule) | $372.79 | $286.71 | 17 of 50 |
| 11011 | Physician and practitioner services (fee schedule) | $426.33 | $326.17 | 17 of 50 |
| 11012 | Physician and practitioner services (fee schedule) | $544.30 | $442.71 | 17 of 50 |
| 11042 | Physician and practitioner services (fee schedule) | $105.98 | $84.55 | 16 of 50 |
| 11043 | Physician and practitioner services (fee schedule) | $191.01 | $167.89 | 20 of 50 |
| 11044 | Physician and practitioner services (fee schedule) | $255.86 | $227.02 | 17 of 50 |
| 11055 | Physician and practitioner services (fee schedule) | $56.15 | $40.24 | 14 of 50 |
| 11056 | Physician and practitioner services (fee schedule) | $65.13 | $47.35 | 13 of 50 |
| 11057 | Physician and practitioner services (fee schedule) | $71.43 | $52.53 | 14 of 50 |
| 11102 | Physician and practitioner services (fee schedule) | $76.64 | $71.28 | 21 of 50 |
| 11103 | Physician and practitioner services (fee schedule) | $39.10 | $36.83 | 22 of 50 |
| 11104 | Physician and practitioner services (fee schedule) | $97.08 | $84.93 | 19 of 50 |
| 11105 | Physician and practitioner services (fee schedule) | $48.17 | $42.80 | 20 of 50 |
| 11106 | Physician and practitioner services (fee schedule) | $120.99 | $101.36 | 18 of 50 |
| 11107 | Physician and practitioner services (fee schedule) | $56.74 | $50.82 | 20 of 50 |
| 11300 | Physician and practitioner services (fee schedule) | $77.32 | $55.51 | 17 of 50 |
| 11301 | Physician and practitioner services (fee schedule) | $93.39 | $67.43 | 18 of 50 |
Managed care in Idaho
7 plans on record, 0 state-directed payment records, 19 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Idaho publish its Medicaid fee schedules?
Idaho publishes rates across 41 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Idaho publish?
23,716 rates are current across 116 services and 10 programs, with 93,420 versions on record since 2008-01-01.
Do Idaho Medicaid managed-care plans pay the fee schedule?
For 3 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 Idaho rate cardYour codes, what Idaho pays, what plans must pay, and every change in 2026.