Montana Medicaid reimbursement rates
141,671 current fee-for-service and managed-care rates from Montana Medicaid, across 134 services and 8 programs, normalized by code, provider level and unit. Each links to one of 77 official source documents. Montana pays the highest rate of any state we cover for 10007, 10030, 10060.
Last retrieved 2026-10-05. History back to 2007-10-01.
- Current rates
- 141,671
- Services
- 134
- Programs
- 8
- Lines with a plan rule
- 0of 20 service lines
By industry
Applied behavior analysis (ABA)Montana rates, labor costs and changesBehavioral healthMontana rates, labor costs and changesHome healthMontana rates, labor costs and changesHome care & personal careMontana rates, labor costs and changesPrivate duty nursingMontana rates, labor costs and changesSkilled nursing facilitiesMontana rates, labor costs and changesHospiceMontana rates, labor costs and changesIntellectual & developmental disabilitiesMontana rates, labor costs and changesOutpatient therapy (PT, OT, speech)Montana rates, labor costs and changes
Montana 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 Montana
Where Montana ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Montana | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $185.92 | $83.72 | 2 of 45 |
| 10006 | Physician and practitioner services (fee schedule) | $84.51 | $45.25 | 2 of 45 |
| 10007 | Physician and practitioner services (fee schedule) | $484.01 | $180.37 | 1 of 45 |
| 10008 | Physician and practitioner services (fee schedule) | $198.60 | $83.93 | 2 of 45 |
| 10009 | Physician and practitioner services (fee schedule) | $579.83 | $263.06 | 2 of 45 |
| 10010 | Physician and practitioner services (fee schedule) | $330.53 | $139.41 | 2 of 45 |
| 10021 | Physician and practitioner services (fee schedule) | $141.79 | $68.56 | 3 of 45 |
| 10030 | Physician and practitioner services (fee schedule) | $872.75 | $326.39 | 1 of 45 |
| 10060 | Physician and practitioner services (fee schedule) | $180.76 | $87.02 | 1 of 45 |
| 10061 | Physician and practitioner services (fee schedule) | $309.35 | $150.46 | 2 of 45 |
| 10080 | Physician and practitioner services (fee schedule) | $378.89 | $115.26 | 1 of 45 |
| 10081 | Physician and practitioner services (fee schedule) | $534.24 | $187.27 | 1 of 45 |
| 10120 | Physician and practitioner services (fee schedule) | $221.13 | $96.39 | 2 of 45 |
| 10121 | Physician and practitioner services (fee schedule) | $386.82 | $165.54 | 2 of 45 |
| 10140 | Physician and practitioner services (fee schedule) | $245.08 | $106.13 | 2 of 45 |
| 10160 | Physician and practitioner services (fee schedule) | $184.98 | $83.69 | 2 of 45 |
| 10180 | Physician and practitioner services (fee schedule) | $405.13 | $165.58 | 1 of 45 |
| 11000 | Physician and practitioner services (fee schedule) | $83.10 | $36.55 | 1 of 45 |
| 11001 | Physician and practitioner services (fee schedule) | $38.03 | $16.93 | 3 of 45 |
| 11004 | Physician and practitioner services (fee schedule) | $709.23 | $436.33 | 3 of 45 |
| 11005 | Physician and practitioner services (fee schedule) | $973.41 | $581.92 | 3 of 45 |
| 11006 | Physician and practitioner services (fee schedule) | $876.74 | $540.51 | 3 of 45 |
| 11008 | Physician and practitioner services (fee schedule) | $343.58 | $208.64 | 3 of 45 |
| 11010 | Physician and practitioner services (fee schedule) | $659.60 | $275.93 | 2 of 45 |
| 11011 | Physician and practitioner services (fee schedule) | $755.80 | $303.31 | 2 of 45 |
| 11012 | Physician and practitioner services (fee schedule) | $965.15 | $414.55 | 2 of 45 |
| 11042 | Physician and practitioner services (fee schedule) | $186.39 | $78.71 | 1 of 45 |
| 11043 | Physician and practitioner services (fee schedule) | $336.58 | $164.23 | 2 of 45 |
| 11044 | Physician and practitioner services (fee schedule) | $450.67 | $218.19 | 2 of 45 |
| 11055 | Physician and practitioner services (fee schedule) | $98.60 | $30.69 | 1 of 45 |
| 11056 | Physician and practitioner services (fee schedule) | $114.09 | $35.45 | 1 of 45 |
| 11057 | Physician and practitioner services (fee schedule) | $124.89 | $41.79 | 1 of 45 |
| 11102 | Physician and practitioner services (fee schedule) | $134.28 | $66.99 | 3 of 45 |
| 11103 | Physician and practitioner services (fee schedule) | $68.55 | $33.33 | 3 of 45 |
| 11104 | Physician and practitioner services (fee schedule) | $170.43 | $81.27 | 3 of 45 |
| 11105 | Physician and practitioner services (fee schedule) | $84.98 | $40.62 | 2 of 45 |
| 11106 | Physician and practitioner services (fee schedule) | $212.68 | $96.49 | 3 of 45 |
| 11107 | Physician and practitioner services (fee schedule) | $99.53 | $47.42 | 2 of 45 |
| 11300 | Physician and practitioner services (fee schedule) | $135.69 | $44.47 | 3 of 45 |
| 11301 | Physician and practitioner services (fee schedule) | $163.39 | $60.30 | 3 of 45 |
Managed care in Montana
17 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 Montana publish its Medicaid fee schedules?
Montana publishes rates across 77 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Montana publish?
141,671 rates are current across 134 services and 8 programs, with 268,168 versions on record since 2007-10-01.
Do Montana Medicaid managed-care plans pay the fee schedule?
For 0 of 20 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 Montana rate cardYour codes, what Montana pays, what plans must pay, and every change in 2026.