New Jersey Medicaid reimbursement rates
105,350 current fee-for-service and managed-care rates from New Jersey Medicaid, across 116 services and 8 programs, normalized by code, provider level and unit. Each links to one of 257 official source documents.
Last retrieved 2026-10-02. History back to 2011-07-01.
- Current rates
- 105,350
- Services
- 116
- Programs
- 8
- Lines with a plan rule
- 11of 15 service lines
By industry
Applied behavior analysis (ABA)New Jersey rates, labor costs and changesBehavioral healthNew Jersey rates, labor costs and changesHome healthNew Jersey rates, labor costs and changesHome care & personal careNew Jersey rates, labor costs and changesPrivate duty nursingNew Jersey rates, labor costs and changesSkilled nursing facilitiesNew Jersey rates, labor costs and changesHospiceNew Jersey rates, labor costs and changesIntellectual & developmental disabilitiesNew Jersey rates, labor costs and changesOutpatient therapy (PT, OT, speech)New Jersey rates, labor costs and changes
New Jersey 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 New Jersey
Where New Jersey ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | New Jersey | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $9.30per base unit | $35.52 | 19 of 19 |
| 10005 | Physician and practitioner services (fee schedule) | $9.30per base unit | $60.63 | 19 of 19 |
| 10006 | Physician and practitioner services (fee schedule) | $9.30per base unit | $39.90 | 19 of 19 |
| 10007 | Physician and practitioner services (fee schedule) | $9.30per base unit | $76.74 | 19 of 19 |
| 10008 | Physician and practitioner services (fee schedule) | $9.30per base unit | $46.94 | 19 of 19 |
| 10009 | Physician and practitioner services (fee schedule) | $9.30per base unit | $93.03 | 19 of 19 |
| 10010 | Physician and practitioner services (fee schedule) | $9.30per base unit | $65.32 | 19 of 19 |
| 10021 | Physician and practitioner services (fee schedule) | $23.10 | $49.77 | 19 of 19 |
| 10030 | Physician and practitioner services (fee schedule) | $50.27 | $119.43 | 18 of 19 |
| 10035 | Physician and practitioner services (fee schedule) | $30.21 | $70.26 | 19 of 19 |
| 10036 | Physician and practitioner services (fee schedule) | $15.63 | $35.41 | 19 of 19 |
| 10060 | Physician and practitioner services (fee schedule) | $55.87 | $76.16 | 16 of 19 |
| 10061 | Physician and practitioner services (fee schedule) | $9.30per base unit | $129.16 | 19 of 19 |
| 10080 | Physician and practitioner services (fee schedule) | $9.30per base unit | $78.73 | 19 of 19 |
| 10081 | Physician and practitioner services (fee schedule) | $9.30per base unit | $127.86 | 19 of 19 |
| 10120 | Physician and practitioner services (fee schedule) | $68.54 | $77.44 | 13 of 19 |
| 10121 | Physician and practitioner services (fee schedule) | $9.30per base unit | $135.29 | 19 of 19 |
| 10140 | Physician and practitioner services (fee schedule) | $75.80 | $86.45 | 13 of 19 |
| 10160 | Physician and practitioner services (fee schedule) | $57.18 | $69.52 | 13 of 19 |
| 10180 | Physician and practitioner services (fee schedule) | $9.30per base unit | $148.10 | 19 of 19 |
| 11000 | Physician and practitioner services (fee schedule) | $25.65 | $24.52 | 8 of 19 |
| 11001 | Physician and practitioner services (fee schedule) | $13.80 | $12.36 | 8 of 19 |
| 11004 | Physician and practitioner services (fee schedule) | $9.30per base unit | $437.21 | 19 of 19 |
| 11005 | Physician and practitioner services (fee schedule) | $9.30per base unit | $573.02 | 19 of 19 |
| 11006 | Physician and practitioner services (fee schedule) | $9.30per base unit | $542.16 | 19 of 19 |
| 11008 | Physician and practitioner services (fee schedule) | $122.89 | $206.56 | 17 of 19 |
| 11010 | Physician and practitioner services (fee schedule) | $9.30per base unit | $225.24 | 19 of 19 |
| 11011 | Physician and practitioner services (fee schedule) | $9.30per base unit | $229.46 | 19 of 19 |
| 11012 | Physician and practitioner services (fee schedule) | $9.30per base unit | $326.26 | 19 of 19 |
| 11042 | Physician and practitioner services (fee schedule) | $9.30per base unit | $50.80 | 19 of 19 |
| 11043 | Physician and practitioner services (fee schedule) | $19.95 | $134.21 | 19 of 19 |
| 11044 | Physician and practitioner services (fee schedule) | $9.30per base unit | $182.12 | 19 of 19 |
| 11055 | Physician and practitioner services (fee schedule) | $27.51 | $14.80 | 4 of 19 |
| 11056 | Physician and practitioner services (fee schedule) | $34.77 | $20.38 | 4 of 19 |
| 11057 | Physician and practitioner services (fee schedule) | $38.73 | $26.13 | 6 of 19 |
| 11102 | Physician and practitioner services (fee schedule) | $9.30per base unit | $32.23 | 19 of 19 |
| 11103 | Physician and practitioner services (fee schedule) | $9.30per base unit | $18.65 | 19 of 19 |
| 11104 | Physician and practitioner services (fee schedule) | $9.30per base unit | $40.43 | 19 of 19 |
| 11105 | Physician and practitioner services (fee schedule) | $9.30per base unit | $22.05 | 19 of 19 |
| 11106 | Physician and practitioner services (fee schedule) | $9.30per base unit | $49.21 | 19 of 19 |
Managed care in New Jersey
62 plans on record, 17 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does New Jersey publish its Medicaid fee schedules?
New Jersey publishes rates across 257 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does New Jersey publish?
105,350 rates are current across 116 services and 8 programs, with 247,209 versions on record since 2011-07-01.
Do New Jersey Medicaid managed-care plans pay the fee schedule?
For 11 of 15 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 New Jersey rate cardYour codes, what New Jersey pays, what plans must pay, and every change in 2026.