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E0161 Medicaid reimbursement rate by state (2026)

Sitz type bath or equipment, portable. Medicaid pays a median of $24.61 for E0161 across 33 states, from $0.78 in Kansas to $32.16 in Wisconsin.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
33
National median
$24.61units vary by state
Lowest
$0.78Kansas
Highest
$32.16Wisconsin

What does Medicaid pay for E0161?

33 state Medicaid programs publish a fee-for-service rate for E0161 at the nurse midwife level. The national median is $24.61 (units differ between states). Wisconsin pays the most, $32.16, and Kansas the least, $0.78, a 41.2x spread.

E0161 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2026-01-01$32.16——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$31.29——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-02-08$31.29——Not classified—
16Ohio Source · since 2026-01-01$25.05Each—Plans negotiate; applies out of network—
17Delaware Source · since 2026-01-01$24.61——Plans negotiate; applies out of network—
18Illinois Source · since 2019-07-24$22.87——Plans negotiate; applies out of network—
32Connecticut Source · since 2017-03-01$2.12——Not classified—
33Kansas Source · since 2026-07-01$0.78——Not classified—
See all 33 states for E0161 — start free

25 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track E0161 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for E0161?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $24.61. Wisconsin pays the most ($32.16) and Kansas the least ($0.78).

Which state pays the highest Medicaid rate for E0161?

Wisconsin, at $32.16, effective 2026-01-01.

Do managed-care plans pay the same rate for E0161?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.