Massachusetts Medicaid reimbursement rates
32,021 current fee-for-service and managed-care rates from Massachusetts Medicaid, across 87 services and 11 programs, normalized by code, provider level and unit. Each links to one of 114 official source documents.
Last retrieved 2026-10-02. History back to 2015-01-01.
- Current rates
- 32,021
- Services
- 87
- Programs
- 11
- Lines with a plan rule
- 7of 21 service lines
By industry
Applied behavior analysis (ABA)Massachusetts rates, labor costs and changesBehavioral healthMassachusetts rates, labor costs and changesHome healthMassachusetts rates, labor costs and changesHome care & personal careMassachusetts rates, labor costs and changesPrivate duty nursingMassachusetts rates, labor costs and changesSkilled nursing facilitiesMassachusetts rates, labor costs and changesHospiceMassachusetts rates, labor costs and changesIntellectual & developmental disabilitiesMassachusetts rates, labor costs and changesOutpatient therapy (PT, OT, speech)Massachusetts rates, labor costs and changes
Massachusetts 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 Massachusetts
Where Massachusetts ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Massachusetts | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $31.16 | $35.52 | 14 of 19 |
| 10005 | Physician and practitioner services (fee schedule) | $53.88 | $60.63 | 13 of 19 |
| 10006 | Physician and practitioner services (fee schedule) | $36.66 | $39.90 | 13 of 19 |
| 10007 | Physician and practitioner services (fee schedule) | $64.72 | $76.74 | 13 of 19 |
| 10008 | Physician and practitioner services (fee schedule) | $37.65 | $46.94 | 13 of 19 |
| 10009 | Physician and practitioner services (fee schedule) | $79.55 | $93.03 | 13 of 19 |
| 10010 | Physician and practitioner services (fee schedule) | $51.70 | $65.32 | 13 of 19 |
| 10021 | Physician and practitioner services (fee schedule) | $40.34 | $49.77 | 15 of 19 |
| 10030 | Physician and practitioner services (fee schedule) | $98.31 | $119.43 | 13 of 19 |
| 10035 | Physician and practitioner services (fee schedule) | $61.83 | $70.26 | 13 of 19 |
| 10036 | Physician and practitioner services (fee schedule) | $31.11 | $35.41 | 14 of 19 |
| 10060 | Physician and practitioner services (fee schedule) | $80.48 | $76.16 | 9 of 19 |
| 10061 | Physician and practitioner services (fee schedule) | $138.84 | $129.16 | 9 of 19 |
| 10080 | Physician and practitioner services (fee schedule) | $79.47 | $78.73 | 9 of 19 |
| 10081 | Physician and practitioner services (fee schedule) | $127.86 | $127.86 | 10 of 19 |
| 10120 | Physician and practitioner services (fee schedule) | $80.14 | $77.44 | 8 of 19 |
| 10121 | Physician and practitioner services (fee schedule) | $137.63 | $135.29 | 9 of 19 |
| 10140 | Physician and practitioner services (fee schedule) | $89.02 | $86.45 | 9 of 19 |
| 10160 | Physician and practitioner services (fee schedule) | $73.11 | $69.52 | 8 of 19 |
| 10180 | Physician and practitioner services (fee schedule) | $134.27 | $148.10 | 11 of 19 |
| 11000 | Physician and practitioner services (fee schedule) | $19.78 | $24.52 | 14 of 19 |
| 11001 | Physician and practitioner services (fee schedule) | $10.82 | $12.36 | 13 of 19 |
| 11004 | Physician and practitioner services (fee schedule) | $411.28 | $437.21 | 12 of 19 |
| 11005 | Physician and practitioner services (fee schedule) | $557.85 | $573.02 | 11 of 19 |
| 11006 | Physician and practitioner services (fee schedule) | $505.96 | $542.16 | 12 of 19 |
| 11008 | Physician and practitioner services (fee schedule) | $196.76 | $206.56 | 11 of 19 |
| 11010 | Physician and practitioner services (fee schedule) | $205.77 | $225.24 | 13 of 19 |
| 11011 | Physician and practitioner services (fee schedule) | $217.62 | $229.46 | 12 of 19 |
| 11012 | Physician and practitioner services (fee schedule) | $306.09 | $326.26 | 12 of 19 |
| 11042 | Physician and practitioner services (fee schedule) | $44.27 | $50.80 | 13 of 19 |
| 11043 | Physician and practitioner services (fee schedule) | $112.94 | $134.21 | 14 of 19 |
| 11044 | Physician and practitioner services (fee schedule) | $164.81 | $182.12 | 13 of 19 |
| 11055 | Physician and practitioner services (fee schedule) | $11.51 | $14.80 | 15 of 19 |
| 11056 | Physician and practitioner services (fee schedule) | $15.99 | $20.38 | 15 of 19 |
| 11057 | Physician and practitioner services (fee schedule) | $20.73 | $26.13 | 15 of 19 |
| 11102 | Physician and practitioner services (fee schedule) | $28.01 | $32.23 | 12 of 19 |
| 11103 | Physician and practitioner services (fee schedule) | $16.00 | $18.65 | 12 of 19 |
| 11104 | Physician and practitioner services (fee schedule) | $34.64 | $40.43 | 12 of 19 |
| 11105 | Physician and practitioner services (fee schedule) | $18.91 | $22.05 | 12 of 19 |
| 11106 | Physician and practitioner services (fee schedule) | $41.59 | $49.21 | 12 of 19 |
Managed care in Massachusetts
37 plans on record, 80 state-directed payment records, 164 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Massachusetts publish its Medicaid fee schedules?
Massachusetts publishes rates across 114 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Massachusetts publish?
32,021 rates are current across 87 services and 11 programs, with 55,057 versions on record since 2015-01-01.
Do Massachusetts Medicaid managed-care plans pay the fee schedule?
For 7 of 21 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 Massachusetts rate cardYour codes, what Massachusetts pays, what plans must pay, and every change in 2026.