Occupational therapy: Medicaid rates by state

47 states publish a Medicaid rate for occupational therapy, compared at the therapist ot level. The median is $111.52 per hour; per hour, rates range from $31.56 in New Jersey to $338.72 in Alaska.

States: 47
Median per hour: $111.52
Highest: $338.72Alaska
Lowest: $31.56New Jersey
Rates on file: 4,027

Occupational therapy: highest and lowest states

Headline rate per state for the same provider level, converted to an hour.

#	State	Rate	Unit	Per hour	Effective
1	AlaskaOccupational therapist	$84.68	15 min	$338.72	2026-07-01
2	New MexicoOccupational therapist	$49.66	15 min	$198.64	2026-07-01
3	MontanaOccupational therapist	$49.30	15 min	$197.20	2026-07-01
···
24	NevadaOccupational therapist	$27.88	15 min	$111.52	2017-01-01
···
47	New JerseyOccupational therapist	$7.89	15 min	$31.56	2024-07-01

See all 47 states for occupational therapy — start free

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Frequently asked questions

Which state pays the most for occupational therapy?

Alaska: $84.68 per 15 min ($338.72 per hour).

What is the average Medicaid rate for occupational therapy?

Across 47 states the median is $111.52 per hour, comparing the same provider level in each state.

Other Therapy (PT/OT/speech) services

Speech-language therapy51 states Physical therapy51 states Occupational therapy evaluation50 states Physical therapy evaluation50 states Speech-language evaluation49 states Swallowing and feeding evaluation49 states Swallowing and feeding therapy48 states Nutrition counseling (dietitian)45 states Speech-generating device therapy43 states Speech-generating device evaluation42 states Orthotic and prosthetic fitting and training41 states Cognitive rehabilitation therapy38 states

Top states for this service

Alaska Medicaid fee scheduleNew Mexico Medicaid fee scheduleMontana Medicaid fee schedule