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Minnesota Medicaid reimbursement rates

50,675 current fee-for-service and managed-care rates from Minnesota Medicaid, across 129 services and 18 programs, normalized by code, provider level and unit. Each links to one of 254 official source documents.

Last retrieved 2026-10-05. History back to 1985-07-01.

Current rates
50,675
Services
129
Programs
18
Lines with a plan rule
12of 21 service lines

By industry

Minnesota 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.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$50.1115 min$200.441
ABA parent and caregiver trainingABA / autism services$20.1715 min$80.681
ABA therapy with 2+ technicians (severe behavior)ABA / autism services$24.1915 min$96.761
ABA therapy with plan changes by an analystABA / autism services$20.1715 min$80.681
Group ABA parent training (several families)ABA / autism services$6.7215 min$26.881
Group ABA therapy led by a technicianABA / autism services$6.7215 min$26.881
One-on-one ABA therapy by a technicianABA / autism services$20.1715 min$80.681
Addiction (substance use) counselingBehavioral health$34.00—$72.113
Assertive Community Treatment (ACT) teamBehavioral health$272.97day—33
Behavioral health prevention educationBehavioral health$11.92——1
Behavioral health rate add-on (percent)Behavioral health$5.92percent—2
Behavioral health residential facility (non-hospital)Behavioral health$575.21day—76
Comprehensive community support servicesBehavioral health$58.8315 min$54.602
Continuing day treatment for adultsBehavioral health$30.61hour$30.613
Crisis intervention (behavioral health)Behavioral health$27.3315 min$109.3229
Day treatment for childrenBehavioral health$58.05hour$58.054
Medication administration (behavioral health)Behavioral health$35.14——1
Medication training and supportBehavioral health$16.9815 min$67.925
Mental health assessment (non-physician)Behavioral health$91.83Session—9
Mental health counselingBehavioral health$0.451 min—3
Mental health service plan developmentBehavioral health$82.44Session—7
Opioid treatment: methadone administrationBehavioral health$16.07——1
Outpatient psychotherapy and diagnostic evaluationBehavioral health$71.52Session$133.06227
Peer support (behavioral health)Behavioral health$15.0215 min$60.0811
Psychiatric partial hospitalizationBehavioral health$322.40Session—5
Psychiatric residential treatment (daily)Behavioral health$1,244.07day—1
Psychoeducational servicesBehavioral health$20.4815 min$81.9237
Psychosocial rehabilitationBehavioral health$14.3415 min$57.3611
Residential crisis program (daily)Behavioral health$591.24day—39
Room and board in a behavioral health residential programBehavioral health$55.72day—3
Skills training and developmentBehavioral health$12.8015 min$51.207
Therapeutic behavioral servicesBehavioral health$20.2315 min$80.9223
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$41.84——1
Dental payment adjustment (percent of the fee schedule)Dental$98.00percent—1
Dental servicesDental$59.16——239
Durable medical equipmentEquipment & supplies$102.06—$63.741488
Enteral and parenteral nutritionEquipment & supplies$16.55day—48
Medical suppliesEquipment & supplies$11.71——616
Orthotics and prostheticsEquipment & supplies$548.64—$141.18904
Adult day servicesOther home & community services$4.5315 min$18.1211
Assisted living / alternative living servicesOther home & community services$1,991.00Daily Rate Limit—50
Case management / support coordinationOther home & community services$16.7415 min$51.5220
Chore services (heavy cleaning, yard work, pest control)Other home & community services$4.3215 min$17.281
Community transition (moving out of an institution)Other home & community services$800.00—$68.6864
Emergency response system installationOther home & community services$500.00Each Time—10
Emergency response system monitoringOther home & community services$805.07month—20
Family caregiver training and supportOther home & community services$20.8215 min$83.2812
Financial management services (self-direction)Other home & community services$44.00Per Print—7
HCBS rate-model component (formula input, not a billable fee)Other home & community services$1.01Add-on $—7455
HCBS waiver service (other)Other home & community services$88,188.00——1
Health Home care management (per month)Other home & community services$304.98One payment per month—4
Home modifications (accessibility)Other home & community services$10,000.00Per Deposit—1
Home-delivered mealsOther home & community services$7.51One Meal Per Day—7
Independent living assistanceOther home & community services$5.3115 min$18.202
Interpreter servicesOther home & community services$12.5015 min$50.001
Nursing assessmentOther home & community services$207.49——4
Other waiver goods and servicesOther home & community services$66.66month—6
Respite care (daily)Other home & community services$260.97day—4
Respite care (hourly)Other home & community services$9.6415 min$38.568
Respite in a facility (daily)Other home & community services$173.52day—5
Self-direction coaching / supports brokerOther home & community services$100.00Per Session—3
Service planning meetingOther home & community services$174.22——1
Specialized medical equipment and suppliesOther home & community services$10,000.00Per Year—3
Supportive housing and housing transition supportsOther home & community services$197.26day—1
Transitional care coordination (children's waiver)Other home & community services$16.6315 min$66.521
Home health aide visitHome health$80.62visit—3
Home health nurse visit (RN or LPN)Home health$105.07day$51.2412
Home health occupational therapyHome health$110.62day—9
Home health physical therapyHome health$108.42day—9
Home health speech therapyHome health$110.07day—5
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$0.375——95
Inpatient DRG relative weightHospital inpatient$1.42——1454
Inpatient hospital stay (DRG base rate)Hospital inpatient$9,857.64——95
Inpatient hospital stay (per diem)Hospital inpatient$3,579.56——105
Inpatient payment adjustment factorHospital inpatient$1.00——386
Inpatient rate add-on (education, wage, directed payment)Hospital inpatient$0.24——96
Outpatient hospital services (fee schedule)Hospital outpatient$2,357.81—$200.975222
Surgery center facility fee (per procedure)Hospital outpatient$1,623.49——4202
Day habilitation / day program (IDD)IDD services$134.01hour$117.013
In-home and community living supports (IDD)IDD services$9.16—$36.645
Intensive behavioral residential supportsIDD services$386.11day—6
Prevocational servicesIDD services$192.06day$69.422
Rate-model staff wage (component, not a billable fee)IDD services$21.93Hourly Wage—210
Residential habilitation / group home supportsIDD services$649.50day—2
Clinical lab testsLab & pathology$21.99——1655
Nursing home stay (daily rate)Nursing facility$342.00daily rate—1
Directed payment uniform increase (required MCO uplift)Other$3.00prescription—5
Directed payment: plan payment level (% of benchmark)Other$4.50prescription—3
Doula support during labor and deliveryOther$100.00day—1
Home infusion or injectable therapy (per diem, services and supplies)Other$72.79day—46
Lactation consultationOther$56.00——1
Managed care capitation rateOther$907.19month—1186
Companion carePersonal care & attendant$2.1715 min$8.6810
Home care worker wage scale (collective bargaining)Personal care & attendant$21.40hour—5
Home health aide or nurse aide care (hourly)Personal care & attendant$7.7015 min$30.805
Homemaker / housekeeping helpPersonal care & attendant$7.90day$31.6036
Personal care / attendant care (hourly)Personal care & attendant$5.2515 min$21.00160
Physician-administered drugs (J-codes)Pharmacy$10.89——930
Nurse shadowing / home care trainingPrivate duty nursing$1,330.37Per Authorization Year—3
Private duty nursing (hourly shifts)Private duty nursing$61.73hour$61.731
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$11.0615 min$44.2238
Anesthesia base units (per procedure)Physician & professional$5.00base unit—5789
Anesthesia conversion factorPhysician & professional$18.87——8
Physician and practitioner services (fee schedule)Physician & professional$333.71hour$77.9114681
Imaging and radiologyRadiology$71.37——2497
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$16.9860 min$62.247
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$26.37—$89.526
Occupational therapyTherapy (PT/OT/speech)$37.4415 min$149.744
Occupational therapy evaluationTherapy (PT/OT/speech)$78.21——8
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$35.7615 min$143.046
Physical therapyTherapy (PT/OT/speech)$23.8015 min$95.184
Physical therapy evaluationTherapy (PT/OT/speech)$76.16——8
Respiratory therapy at homeTherapy (PT/OT/speech)$69.66day—5
Speech-generating device evaluationTherapy (PT/OT/speech)$95.20——2
Speech-generating device therapyTherapy (PT/OT/speech)$79.76——2
Speech-language evaluationTherapy (PT/OT/speech)$95.07——8
Speech-language therapyTherapy (PT/OT/speech)$59.17——2
Swallowing and feeding evaluationTherapy (PT/OT/speech)$55.19——2
Swallowing and feeding therapyTherapy (PT/OT/speech)$65.35——2
Air ambulance transportTransportation$4,175.67——2
Ambulance extras (waiting time, extra attendant, neonatal)Transportation$14.33——1
Ambulance mileageTransportation$10.33mile—4
Ground ambulance transportTransportation$455.29——9
Non-emergency medical transportation (NEMT)Transportation$14.30mile—15
Staff mileage add-onTransportation$0.70mile—1
Travel lodging for a medical appointment (per night)Transportation$104.00——2
Waiver transportation (to community activities)Transportation$1.12mile—12
Eyeglasses and contact lensesVision & hearing$81.11——21
Hearing aids and hearing servicesVision & hearing$182.15——11

Most-compared billing codes in Minnesota

Where Minnesota ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceMinnesotaAll-state medianRank
10004Physician and practitioner services (fee schedule)$25.98$36.6020 of 22
10005Physician and practitioner services (fee schedule)$45.02$63.5219 of 22
10006Physician and practitioner services (fee schedule)$31.13$41.1319 of 22
10007Physician and practitioner services (fee schedule)$57.12$80.5219 of 22
10008Physician and practitioner services (fee schedule)$33.44$49.4419 of 22
10009Physician and practitioner services (fee schedule)$67.66$97.9619 of 22
10010Physician and practitioner services (fee schedule)$46.82$69.5619 of 22
10021Physician and practitioner services (fee schedule)$32.93$52.6820 of 22
10030Physician and practitioner services (fee schedule)$84.90$120.6319 of 22
10035Physician and practitioner services (fee schedule)$51.71$74.4120 of 22
10036Physician and practitioner services (fee schedule)$26.24$37.7920 of 22
10060Physician and practitioner services (fee schedule)$76.16$75.6711 of 22
10061Physician and practitioner services (fee schedule)$129.16$128.9411 of 22
10080Physician and practitioner services (fee schedule)$78.73$73.9511 of 22
10081Physician and practitioner services (fee schedule)$122.73$137.1814 of 22
10120Physician and practitioner services (fee schedule)$77.44$78.4712 of 22
10121Physician and practitioner services (fee schedule)$126.84$136.4615 of 22
10140Physician and practitioner services (fee schedule)$86.45$87.7412 of 22
10160Physician and practitioner services (fee schedule)$68.44$70.3513 of 22
10180Physician and practitioner services (fee schedule)$128.13$149.6914 of 22
11000Physician and practitioner services (fee schedule)$17.75$25.2320 of 22
11001Physician and practitioner services (fee schedule)$9.26$12.9120 of 22
11004Physician and practitioner services (fee schedule)$351.98$437.2417 of 22
11005Physician and practitioner services (fee schedule)$473.68$583.4616 of 22
11006Physician and practitioner services (fee schedule)$431.74$545.2217 of 22
11008Physician and practitioner services (fee schedule)$166.47$207.6016 of 22
11010Physician and practitioner services (fee schedule)$180.36$237.8119 of 22
11011Physician and practitioner services (fee schedule)$188.34$257.7618 of 22
11012Physician and practitioner services (fee schedule)$257.30$359.3718 of 22
11042Physician and practitioner services (fee schedule)$40.91$55.5517 of 22
11043Physician and practitioner services (fee schedule)$99.57$141.0318 of 22
11044Physician and practitioner services (fee schedule)$144.08$195.3118 of 22
11055Physician and practitioner services (fee schedule)$10.03$16.7520 of 22
11056Physician and practitioner services (fee schedule)$14.40$24.3321 of 22
11057Physician and practitioner services (fee schedule)$18.52$29.0421 of 22
11102Physician and practitioner services (fee schedule)$22.12$33.9420 of 22
11103Physician and practitioner services (fee schedule)$12.86$19.6420 of 22
11104Physician and practitioner services (fee schedule)$27.78$42.3320 of 22
11105Physician and practitioner services (fee schedule)$15.18$22.9919 of 22
11106Physician and practitioner services (fee schedule)$33.70$51.2320 of 22

Managed care in Minnesota

9 plans on record, 8 state-directed payment records, 1,186 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

NoticeStatusEffective
MN SPA MN-27-0001: Attachment 4.19D (NF) draft, effective 1/1/2027proposed2027-01-01
MN SPA MN-26-0028: Draft: cost-based outpatient rate for CAHs converting to Rural Emergency Hospitals, effective 7/1/2026proposed2026-07-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 14: Minnesota Statutes 2024, section 256R.23, subdivision 7, (Determination of direct care payment rates)enacted2026-01-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 15: Minnesota Statutes 2024, section 256R.23, subdivision 8, (Determination of other care-related payment rates)enacted2026-01-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 16: Minnesota Statutes 2024, section 256R.24, subdivision 3, (Determination of the other operating payment rate)enacted2026-01-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 17: Minnesota Statutes 2024, section 256R.25, as amended by Laws 2025, chapter 38, article 1, section 27, (Determination of external fixed cost payment rate)enacted2026-01-01
CMS approval of Minnesota SDP MN_Fee_Oth_New_20260101-20261231approved_cms2026-01-01
LTSS rate and budget changes on Jan. 1, 2026effective2026-01-01
PCA/CFSS tiered reimbursement increases effective Jan. 1, 2026effective2026-01-01
MN SPA MN-26-0005: Attachment 4.19D (NF), effective 1/1/2026approved_cms2026-01-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 24: [256R.531] PATIENT DRIVEN PAYMENT MODEL PHASE-IN. (PATIENT DRIVEN PAYMENT MODEL PHASE-IN)enacted2025-10-01
Laws 2025, First Special Session chapter 9, art. 1, sec. 23: [256R.495] RATE ADJUSTMENT FOR NURSING HOME EMPLOYMENT STANDARDS. (RATE ADJUSTMENT FOR NURSING HOME EMPLOYMENT STANDARDS)enacted2025-07-01

Frequently asked questions

Where does Minnesota publish its Medicaid fee schedules?

Minnesota publishes rates across 254 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Minnesota publish?

50,675 rates are current across 129 services and 18 programs, with 129,721 versions on record since 1985-07-01.

Do Minnesota Medicaid managed-care plans pay the fee schedule?

For 12 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 Minnesota rate cardYour codes, what Minnesota pays, what plans must pay, and every change in 2026.
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