Outpatient therapy (PT, OT, speech) Medicaid rates by state
Medicaid rates for physical, occupational and speech therapy treatment and evaluations, by therapist level. For physical therapy, the median across 38 states is $90.22 an hour. New Mexico pays the most.
- States with rates
- 40
- Median · Physical therapy
- $90.22an hour
- Highest
- $165.64New Mexico
- Lowest
- $46.64Maine
Key therapy 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 |
|---|---|---|---|---|---|
| Physical therapy | Physical therapist | $90.22/hr | $46.64 | $165.64 | 38 |
| Occupational therapy | Occupational therapist | $96.04/hr | $31.56 | $198.64 | 37 |
| Speech-language therapy | Speech-language pathologist | $61.64 | $20.57 | $142.14 | 29 |
| Physical therapy evaluation | Physical therapist | $73.33 | $10.27 | $141.72 | 35 |
| Occupational therapy evaluation | Occupational therapist | $73.85 | $19.63 | $143.05 | 34 |
| Speech-language evaluation | Speech-language pathologist | $86.83 | $49.44 | $158.54 | 34 |
Physical therapy: state ranking
Physical therapist level. Each rate links to the state's official fee schedule.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Mexico | $41.41 | 15 min | $165.64 | 2025-01-01 |
| 2 | Montana | $36.76 | 15 min | $147.04 | 2026-07-01 |
| 3 | Texas | $33.75 | 15 min | $135.00 | 2017-09-01 |
| 4 | Tennessee | $28.25 | 15 min | $113.00 | 2025-07-01 |
| 5 | Nevada | $28.19 | 15 min | $112.76 | 2017-01-01 |
| 6 | Maryland | $27.85 | 15 min | $111.40 | 2026-01-01 |
| 7 | Nebraska | $27.42 | 15 min | $109.68 | 2026-07-01 |
| 8 | Oklahoma | $26.00 | 15 min | $104.00 | 2024-10-01 |
| 9 | Missouri | $25.56 | 15 min | $102.24 | 2026-07-01 |
| 10 | Virginia | $25.17 | 15 min | $100.68 | 2026-07-01 |
| 11 | Kansas | $24.79 | 15 min | $99.16 | 2024-08-01 |
| 12 | Colorado | $24.65 | 15 min | $98.60 | 2026-07-01 |
| 13 | Mississippi | $24.36 | 15 min | $97.44 | 2026-07-01 |
| 14 | Idaho | $24.01 | 15 min | $96.04 | 2026-07-01 |
| 15 | Oregon | $23.49 | 15 min | $93.96 | 2026-02-01 |
| 16 | North Carolina | $23.37 | 15 min | $93.48 | 2025-10-01 |
| 17 | Louisiana | $23.00 | 15 min | $92.00 | 2025-11-18 |
| 18 | Massachusetts | $22.67 | 15 min | $90.68 | 2025-06-06 |
| 19 | Iowa | $22.65 | 15 min | $90.60 | 2020-05-01 |
| 20 | Connecticut | $22.46 | 15 min | $89.84 | 2026-01-01 |
| 21 | Minnesota | $22.38 | 15 min | $89.52 | 2026-02-01 |
| 22 | Arkansas | $21.76 | 15 min | $87.04 | 2024-04-03 |
| 23 | Illinois | $21.63 | 15 min | $86.52 | 2024-04-01 |
| 24 | Michigan | $20.87 | 15 min | $83.48 | 2026-01-01 |
| 25 | Wisconsin | $20.29 | 15 min | $81.16 | 2022-01-01 |
| 26 | Georgia | $20.07 | 15 min | $80.28 | 2017-01-01 |
| 27 | Washington | $19.87 | 15 min | $79.48 | 2026-10-01 |
| 28 | West Virginia | $19.76 | 15 min | $79.04 | 2026-04-01 |
| 29 | Ohio | $18.50 | 15 min | $74.00 | 2020-06-12 |
| 30 | Indiana | $18.12 | 15 min | $72.48 | 2014-01-01 |
| 31 | New York | $18.05 | 15 min | $72.20 | 2023-10-01 |
| 32 | Florida | $17.96 | 15 min | $71.84 | 2026-07-01 |
| 33 | South Carolina | $17.82 | 15 min | $71.28 | 2017-07-01 |
| 34 | Kentucky | $17.54 | 15 min | $70.16 | 2026-01-01 |
| 35 | Pennsylvania | $16.75 | 15 min | $67.00 | 2021-09-01 |
| 36 | New Jersey | $14.70 | 15 min | $58.80 | 2026-07-01 |
| 37 | California | $12.22 | 15 min | $48.88 | 2026-10-01 |
| 38 | Maine | $11.66 | 15 min | $46.64 | 2026-01-01 |
Therapy 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.