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North Carolina Medicaid therapy rates

North Carolina Medicaid pays $23.37 per 15 min ($93.48 an hour) for physical therapy delivered by a physical therapist, effective October 1, 2025, the 14th highest of 34 states with comparable rates. Below: 5 more therapy rates compared with every state we track, the wages of the staff who deliver them, and recent rate changes.

Physical therapy
$23.37per 15 min · $93.48/hr
Rank among states
14 of 34+3.6% vs median
Physical therapist median wage
$48.03BLS May 2025
North Carolina minimum wage
$7.25

North Carolina therapy rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open North Carolina's official fee schedule.

ServiceProvider levelCodeNC rateUnitPer hourRankMedian across statesLowestHighestStates
Physical therapyPhysical therapist97110$23.3715 min$93.4814 of 34$90.22/hr$48.88$165.6434
Occupational therapyOccupational therapist97530$23.3815 min$93.5219 of 33$102.92/hr$31.56$198.6433
Speech-language therapySpeech-language pathologist92507$66.89——6 of 26$60.69$20.57$142.1426
Physical therapy evaluationPhysical therapist97163$66.11——20 of 31$73.33$10.27$141.7231
Occupational therapy evaluationOccupational therapist97167$64.14——20 of 30$73.85$19.63$143.0530
Speech-language evaluationSpeech-language pathologist92524$78.91——20 of 30$86.83$49.44$158.5430

Physical therapy: where North Carolina ranks

States whose published unit can't be converted are left out of the ranking.

#StateRateUnitPer hourEffective
1New Mexico$41.4115 min$165.642025-01-01
2Texas$33.7515 min$135.002017-09-01
3Tennessee$28.2515 min$113.002025-07-01
4Nevada$28.1915 min$112.762017-01-01
5Maryland$27.8515 min$111.402026-01-01
6Nebraska$27.4215 min$109.682026-07-01
7Oklahoma$26.0015 min$104.002024-10-01
8Missouri$25.5615 min$102.242026-07-01
9Virginia$25.1715 min$100.682026-07-01
10Kansas$24.7915 min$99.162024-08-01
11Colorado$24.6515 min$98.602026-07-01
12Mississippi$24.3615 min$97.442026-07-01
13Oregon$23.4915 min$93.962026-02-01
14North Carolina$23.3715 min$93.482025-10-01
15Louisiana$23.0015 min$92.002025-11-18
16Massachusetts$22.6715 min$90.682025-06-06
17Iowa$22.6515 min$90.602020-05-01
18Connecticut$22.4615 min$89.842026-01-01
19Minnesota$22.3815 min$89.522026-02-01
20Arkansas$21.7615 min$87.042024-04-03
21Illinois$21.6315 min$86.522024-04-01
22Michigan$20.8715 min$83.482026-01-01
23Wisconsin$20.2915 min$81.162022-01-01
24Georgia$20.0715 min$80.282017-01-01
25Washington$19.8715 min$79.482026-10-01
26Ohio$18.5015 min$74.002020-06-12
27Indiana$18.1215 min$72.482014-01-01
28New York$18.0515 min$72.202023-10-01
29Florida$17.9615 min$71.842026-07-01
30South Carolina$17.8215 min$71.282017-07-01
31Kentucky$17.5415 min$70.162026-01-01
32Pennsylvania$16.7515 min$67.002021-09-01
33New Jersey$14.7015 min$58.802026-07-01
34California$12.2215 min$48.882026-10-01

What it costs to deliver in North Carolina

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

RoleNC medianUS medianvs US
Physical therapist$48.03$49.40-2.8%
Occupational therapist$44.68$48.24-7.4%
Speech-language pathologist$41.57$47.05-11.6%
Physical therapist assistant$32.47$32.88-1.2%
Occupational therapy assistant$33.36$34.76-4.0%

Recent North Carolina therapy rate changes

Every variant, every version, every state

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.

Open in workspaceAPI reference

Rates are taken from North Carolina'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.

Medicaid rates by state