Maryland Medicaid reimbursement rates
27,706 current fee-for-service and managed-care rates from Maryland Medicaid, across 131 services and 17 programs, normalized by code, provider level and unit. Each links to one of 59 official source documents.
Last retrieved 2026-10-05. History back to 2006-01-01.
- Current rates
- 27,706
- Services
- 131
- Programs
- 17
- Lines with a plan rule
- 3of 14 service lines
By industry
Applied behavior analysis (ABA)Maryland rates, labor costs and changesBehavioral healthMaryland rates, labor costs and changesHome healthMaryland rates, labor costs and changesHome care & personal careMaryland rates, labor costs and changesPrivate duty nursingMaryland rates, labor costs and changesSkilled nursing facilitiesMaryland rates, labor costs and changesHospiceMaryland rates, labor costs and changesIntellectual & developmental disabilitiesMaryland rates, labor costs and changesOutpatient therapy (PT, OT, speech)Maryland rates, labor costs and changes
Maryland 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 Maryland
Where Maryland ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Maryland | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $110.47 | $79.38 | 6 of 35 |
| 10006 | Physician and practitioner services (fee schedule) | $52.16 | $44.97 | 7 of 35 |
| 10007 | Physician and practitioner services (fee schedule) | $251.16 | $150.61 | 9 of 35 |
| 10008 | Physician and practitioner services (fee schedule) | $141.31 | $73.48 | 5 of 35 |
| 10009 | Physician and practitioner services (fee schedule) | $411.98 | $180.34 | 5 of 35 |
| 10010 | Physician and practitioner services (fee schedule) | $243.96 | $102.56 | 4 of 35 |
| 10021 | Physician and practitioner services (fee schedule) | $103.10 | $67.99 | 4 of 35 |
| 10030 | Physician and practitioner services (fee schedule) | $644.19 | $162.47 | 3 of 35 |
| 10060 | Physician and practitioner services (fee schedule) | $93.07 | $81.94 | 13 of 35 |
| 10061 | Physician and practitioner services (fee schedule) | $163.48 | $148.21 | 14 of 35 |
| 10080 | Physician and practitioner services (fee schedule) | $143.14 | $100.82 | 14 of 35 |
| 10081 | Physician and practitioner services (fee schedule) | $214.01 | $159.09 | 13 of 35 |
| 10120 | Physician and practitioner services (fee schedule) | $121.33 | $89.53 | 7 of 35 |
| 10121 | Physician and practitioner services (fee schedule) | $217.74 | $159.38 | 7 of 35 |
| 10140 | Physician and practitioner services (fee schedule) | $129.70 | $100.20 | 10 of 35 |
| 10160 | Physician and practitioner services (fee schedule) | $103.10 | $79.28 | 8 of 35 |
| 10180 | Physician and practitioner services (fee schedule) | $196.99 | $154.29 | 10 of 35 |
| 11000 | Physician and practitioner services (fee schedule) | $42.94 | $35.27 | 10 of 35 |
| 11001 | Physician and practitioner services (fee schedule) | $16.93 | $16.01 | 16 of 35 |
| 11004 | Physician and practitioner services (fee schedule) | $464.61 | $437.26 | 11 of 35 |
| 11005 | Physician and practitioner services (fee schedule) | $630.91 | $593.90 | 10 of 35 |
| 11006 | Physician and practitioner services (fee schedule) | $566.22 | $548.28 | 12 of 35 |
| 11008 | Physician and practitioner services (fee schedule) | $221.87 | $211.81 | 12 of 35 |
| 11010 | Physician and practitioner services (fee schedule) | $404.71 | $259.67 | 4 of 35 |
| 11011 | Physician and practitioner services (fee schedule) | $429.49 | $291.14 | 6 of 35 |
| 11012 | Physician and practitioner services (fee schedule) | $568.64 | $393.77 | 5 of 35 |
| 11042 | Physician and practitioner services (fee schedule) | $92.58 | $76.21 | 12 of 35 |
| 11043 | Physician and practitioner services (fee schedule) | $187.00 | $158.67 | 12 of 35 |
| 11044 | Physician and practitioner services (fee schedule) | $252.62 | $213.31 | 11 of 35 |
| 11055 | Physician and practitioner services (fee schedule) | $37.89 | $20.00 | 15 of 35 |
| 11056 | Physician and practitioner services (fee schedule) | $46.19 | $29.68 | 14 of 35 |
| 11057 | Physician and practitioner services (fee schedule) | $51.64 | $38.94 | 14 of 35 |
| 11102 | Physician and practitioner services (fee schedule) | $87.00 | $65.28 | 5 of 35 |
| 11103 | Physician and practitioner services (fee schedule) | $46.87 | $32.73 | 4 of 35 |
| 11104 | Physician and practitioner services (fee schedule) | $109.35 | $77.06 | 6 of 35 |
| 11105 | Physician and practitioner services (fee schedule) | $53.69 | $38.77 | 6 of 35 |
| 11106 | Physician and practitioner services (fee schedule) | $132.37 | $95.36 | 5 of 35 |
| 11107 | Physician and practitioner services (fee schedule) | $63.29 | $46.36 | 6 of 35 |
| 11300 | Physician and practitioner services (fee schedule) | $78.39 | $42.15 | 6 of 35 |
| 11301 | Physician and practitioner services (fee schedule) | $96.21 | $55.47 | 6 of 35 |
Managed care in Maryland
10 plans on record, 22 state-directed payment records, 342 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Maryland publish its Medicaid fee schedules?
Maryland publishes rates across 59 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Maryland publish?
27,706 rates are current across 131 services and 17 programs, with 32,856 versions on record since 2006-01-01.
Do Maryland Medicaid managed-care plans pay the fee schedule?
For 3 of 14 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.
Other states
Your Maryland rate cardYour codes, what Maryland pays, what plans must pay, and every change in 2026.