California Medicaid private duty nursing rates
California Medicaid pays $47.91 per hour for private duty nursing (rn) delivered by a registered nurse, effective October 1, 2026, the 27th highest of 43 states with comparable rates. Below: 3 more private duty nursing rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.
- Private duty nursing (RN)
- $47.91per hour
- Rank among states
- 27 of 43-12.6% vs median
- Registered nurse median wage
- $67.44BLS May 2025
- California minimum wage
- $16.90$17.40 from January 1, 2027
California private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open California's official fee schedule.
| Service | Provider level | Code | CA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | S9123 | $47.91 | hour | $47.91 | 27 of 43 | $54.84/hr | $8.92 | $254.03 | 43 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | S9124 | $36.63 | hour | $36.63 | 24 of 40 | $46.13/hr | $8.92 | $704.00 | 40 |
| Waiver nursing (RN) | Registered nurse | T1002 | $12.08 | 15 min | $48.32 | 34 of 42 | $77.92/hr | $19.08 | $14,040.00 | 42 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | T1003 | $6.18 | 15 min | $24.72 | 33 of 35 | $56.68/hr | $12.68 | $14,040.00 | 35 |
Private duty nursing (RN): where California ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Utah | $254.03 | hour | $254.03 | 2026-07-01 |
| 2 | Massachusetts | $32.66 | 15 min | $130.64 | 2024-08-01 |
| 3 | Georgia | $23.84 | 15 min | $95.36 | 2024-07-01 |
| 4 | Rhode Island | $23.60 | 15 min | $94.40 | 2026-10-01 |
| 5 | Hawaii | $23.51 | 15 min | $94.04 | 2026-01-01 |
| 6 | South Dakota | $92.80 | hour | $92.80 | 2026-07-01 |
| 7 | Montana | $21.86 | 15 min | $87.44 | 2025-07-01 |
| 8 | Iowa | $80.00 | hour | $80.00 | 2016-01-01 |
| 9 | Idaho | $19.56 | 15 min | $78.24 | 2025-09-01 |
| 10 | New Hampshire | $75.84 | hour | $75.84 | 2024-01-01 |
| 11 | Michigan | $18.08 | 15 min | $72.32 | 2024-10-01 |
| 12 | Ohio | $17.25 | 15 min | $69.00 | 2024-01-01 |
| 13 | Washington | $16.97 | 15 min | $67.88 | 2025-01-01 |
| 14 | Louisiana | $65.46 | hour | $65.46 | 2023-04-03 |
| 15 | Arizona | $64.22 | hour | $64.22 | 2026-10-01 |
| 16 | Nevada | $64.00 | hour | $64.00 | 2023-07-01 |
| 17 | Delaware | $63.67 | hour | $63.67 | 2024-01-01 |
| 18 | Oregon | $15.49 | 15 min | $61.96 | 2023-07-01 |
| 19 | Minnesota | $61.73 | hour | $61.73 | 2004-04-01 |
| 20 | Missouri | $15.20 | 15 min | $60.80 | 2024-07-01 |
| 21 | Vermont | $14.86 | 15 min | $59.44 | 2024-07-01 |
| 22 | Maryland | $13.71 | 15 min | $54.84 | 2024-07-01 |
| 23 | Colorado | $52.51 | hour | $52.51 | 2026-07-01 |
| 24 | North Carolina | $13.00 | 15 min. | $52.00 | 2025-10-01 |
| 25 | Pennsylvania | $50.00 | hour | $50.00 | 2008-08-01 |
| 26 | Connecticut | $49.27 | hour | $49.27 | 2021-07-01 |
| 27 | California | $47.91 | hour | $47.91 | 2026-10-01 |
| 28 | South Carolina | $47.00 | hour | $47.00 | 2025-11-01 |
| 29 | West Virginia | $11.02 | 15 min | $44.08 | 2026-04-01 |
| 30 | Texas | $10.22 | 15 min | $40.88 | 2023-09-01 |
| 31 | Wisconsin | $37.76 | hour | $37.76 | 2022-01-01 |
| 32 | Nebraska | $36.82 | hour | $36.82 | 2026-07-01 |
| 33 | Illinois | $36.75 | hour | $36.75 | 2026-07-01 |
| 34 | Maine | $9.06 | 15 min | $36.24 | 2026-01-01 |
| 35 | Florida | $8.16 | 15 min | $32.64 | 2026-07-01 |
| 36 | New York | $31.21 | hour | $31.21 | 2022-04-01 |
| 37 | Mississippi | $29.33 | hour | $29.33 | 2022-10-01 |
| 38 | Arkansas | $28.00 | hour | $28.00 | 2025-06-04 |
| 39 | District of Columbia | $28.00 | hour | $28.00 | 2003-09-01 |
| 40 | Kansas | $26.00 | hour | $26.00 | 2002-07-01 |
| 41 | Virginia | $25.86 | hour | $25.86 | 2026-07-01 |
| 42 | New Jersey | $15.75 | hour | $15.75 | 2025-01-01 |
| 43 | Oklahoma | $2.23 | 15 min | $8.92 | 2026-01-01 |
What it costs to deliver in California
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | CA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $67.44 | $46.90 | +43.8% |
| Licensed practical nurse | $38.34 | $30.96 | +23.8% |
Recent California private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| 2026-27 Budget Act: Private Duty Nursing Rate Increases–The Budget includes $30 million one-time General Fund in 2026-27 to | enacted | — | — |
| MCO Tax-funded investments, 2024 Budget Act: Private-Duty Nursing ($62 million) | enacted | — | 2026-01-01 |
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.
Rates are taken from California's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.