Hawaii Medicaid private duty nursing rates
Hawaii Medicaid pays $23.51 per 15 min ($94.04 an hour) for private duty nursing (rn) delivered by a registered nurse, effective January 1, 2026, the 5th 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)
- $23.51per 15 min · $94.04/hr
- Rank among states
- 5 of 43+71.5% vs median
- Registered nurse median wage
- $65.54BLS May 2025
- Hawaii minimum wage
- $16.00
Hawaii private duty nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Hawaii's official fee schedule.
| Service | Provider level | Code | HI rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Private duty nursing (RN) | Registered nurse | S9123 | $23.51 | 15 min | $94.04 | 5 of 43 | $54.84/hr | $8.92 | $254.03 | 43 |
| Private duty nursing (LPN) | Licensed practical / vocational nurse | S9124 | $15.00 | 15 min | $60.00 | 10 of 40 | $46.13/hr | $8.92 | $704.00 | 40 |
| Waiver nursing (RN) | Registered nurse | S5125 | $28.98 | 15 min | $115.92 | 7 of 42 | $77.92/hr | $19.08 | $14,040.00 | 42 |
| Waiver nursing (LPN) | Licensed practical / vocational nurse | S5125 | $18.18 | 15 min | $72.72 | 12 of 35 | $56.68/hr | $12.68 | $14,040.00 | 35 |
Private duty nursing (RN): where Hawaii 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 Hawaii
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | HI median | US median | vs US |
|---|---|---|---|
| Registered nurse | $65.54 | $46.90 | +39.7% |
| Licensed practical nurse | $34.20 | $30.96 | +10.5% |
Recent Hawaii private duty nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| Med-QUEST memo QI-2604: 2026 | effective | +4.3% | 2026-01-01 |
| Med-QUEST memo QI-2604A: 2026 | effective | — | 2026-01-01 |
| Med-QUEST memo QI-2501: 2025 | effective | +3.4% | 2025-01-01 |
| Med-QUEST memo QI-2501A: 2025 | effective | — | 2025-01-01 |
| Med-QUEST memo QI-2407: 2024 | effective | +3.3% | 2024-01-01 |
| Med-QUEST memo QI-2407A: 2024 | effective | +16.7% | 2024-01-01 |
| Med-QUEST memo QI-2407B: 2024 | effective | +3.2% | 2024-01-01 |
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 Hawaii'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.