Private duty nursing Medicaid rates by state
Medicaid private duty and waiver nursing rates by nurse level, with RN and LPN wages for each state. For private duty nursing (rn), the median across 31 states is $50.00 an hour. Massachusetts pays the most.
- States with rates
- 35
- Median · Private duty nursing (RN)
- $50.00an hour
- Highest
- $130.64Massachusetts
- Lowest
- $8.92Oklahoma
Key private duty nursing rates across states
Fee-for-service rates, compared like-for-like by provider level. Per-hour figures convert time-based units only.
| Service | Provider level | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | $50.00/hr | $8.92 | $130.64 | 31 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | $36.09/hr | $8.92 | $704.00 | 28 |
| Waiver nursing (RN) | Registered nurse | $63.96/hr | $19.08 | $14,040.00 | 29 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | $45.16/hr | $12.68 | $14,040.00 | 24 |
Private duty nursing (RN): state ranking
Registered nurse level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Massachusetts | $32.66 | 15 min | $130.64 | 2024-08-01 |
| 2 | Georgia | $23.84 | 15 min | $95.36 | 2024-07-01 |
| 3 | Iowa | $80.00 | hour | $80.00 | 2016-01-01 |
| 4 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 5 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 6 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 7 | Louisiana | $65.46 | hour | $65.46 | 2023-04-03 |
| 8 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 9 | Nevada | $64.00 | hour | $64.00 | 2023-07-01 |
| 10 | Oregon | $15.49 | 15 min | $61.96 | 2023-07-01 |
| 11 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 12 | Missouri | $15.20 | 15 min | $60.80 | 2024-07-01 |
| 13 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 14 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 15 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 16 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 17 | Connecticut | $49.27 | hour | $49.27 | 2021-07-01 |
| 18 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 19 | South Carolina | $47.00 | hour | $47.00 | 2025-11-01 |
| 20 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 21 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 22 | Nebraska | $36.82 | hour | $36.82 | 2026-07-01 |
| 23 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 24 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 25 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 26 | Mississippi | $29.33 | hour | $29.33 | 2022-10-01 |
| 27 | Arkansas | $28.00 | hour | $28.00 | 2025-06-04 |
| 28 | Kansas | $26.00 | hour | $26.00 | 2002-07-01 |
| 29 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 30 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
| 31 | Oklahoma | $2.23 | 15 min | $8.92 | 2026-01-01 |
Private duty nursing rates by state
State pages cover every key rate, the wages of the roles that deliver the service, the minimum wage, and recent rate changes.
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.