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Arizona Medicaid reimbursement rates

169,871 current fee-for-service and managed-care rates from Arizona Medicaid, across 130 services and 11 programs, normalized by code, provider level and unit. Each links to one of 150 official source documents. Arizona pays the highest rate of any state we cover for 10004, 10060, 10061.

Last retrieved 2026-10-02. History back to 2003-01-01.

Current rates
169,871
Services
130
Programs
11
Lines with a plan rule
8of 22 service lines

By industry

Arizona rates by service

The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$34.5315 min$138.108
ABA assessment support by a technicianABA / autism services$27.0115 min$108.0210
ABA parent and caregiver trainingABA / autism services$27.5315 min$110.128
ABA therapy with plan changes by an analystABA / autism services$28.7715 min$115.088
Group ABA parent training (several families)ABA / autism services$9.1815 min$36.708
Group ABA therapy led by a technicianABA / autism services$5.9215 min$23.6811
Group ABA therapy led by an analystABA / autism services$7.2015 min$28.788
One-on-one ABA therapy by a technicianABA / autism services$22.5115 min$90.0210
Ambulatory withdrawal management (detox)Behavioral health$264.72——3
Behavioral health day treatmentBehavioral health$13.67hour$13.678
Behavioral health hotlineBehavioral health$28.52——7
Behavioral health outreachBehavioral health$14.02——3
Behavioral health prevention educationBehavioral health$9.44——10
Behavioral health residential facility (non-hospital)Behavioral health$258.48day—12
Behavioral health subacute facility dayBehavioral health$518.58——8
Community psychiatric support and treatment (CPST)Behavioral health$7.7815 min$28.1435
Community-based wraparound servicesBehavioral health$24.6315 min$98.522
Comprehensive community support servicesBehavioral health$3.1315 min$12.3410
Crisis intervention (behavioral health)Behavioral health$67.61hour$125.0826
Family support (behavioral health)Behavioral health$20.8815 min$83.5226
Intensive outpatient program (behavioral health)Behavioral health$142.70——10
Long-term behavioral health residential (non-medical)Behavioral health$137.52——6
Medically supervised inpatient withdrawal (per day)Behavioral health$735.06——32
Medication administration (behavioral health)Behavioral health$13.87—$55.4626
Medication training and supportBehavioral health$8.9115 min$35.628
Mental health assessment (non-physician)Behavioral health$35.77——30
Mental health counselingBehavioral health$28.0015 min$112.00141
Multisystemic therapy for youthBehavioral health$39.9615 min$159.822
Opioid treatment: methadone administrationBehavioral health$6.03——16
Outpatient psychotherapy and diagnostic evaluationBehavioral health$92.2730 min$134.10302
Peer support (behavioral health)Behavioral health$14.6515 min$58.6010
Psychiatric partial hospitalizationBehavioral health$302.06——2
Psychiatric residential treatment (daily)Behavioral health$422.67——16
Psychiatric residential treatment: bed-hold (leave) dayBehavioral health$122.09——9
Psychoeducational servicesBehavioral health$14.1015 min$56.4010
Psychosocial rehabilitationBehavioral health$16.0015 min$55.4018
Skills training and developmentBehavioral health$102.51—$55.2624
Supported employment (behavioral health)Behavioral health$21.5215 min$39.4020
Therapeutic behavioral servicesBehavioral health$4.8815 min$19.5210
Therapeutic behavioral services (daily rate)Behavioral health$111.27——12
Therapeutic foster care (child)Behavioral health$190.01——14
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$364.32visit—48
Multi-specialty interdisciplinary clinic visit (MSIC)Clinics (FQHC/RHC)$175.92——6
Dental servicesDental$152.45——851
Durable medical equipmentEquipment & supplies$105.95day$115.282181
Enteral and parenteral nutritionEquipment & supplies$21.98day—82
Medical suppliesEquipment & supplies$12.52day—3299
Orthotics and prostheticsEquipment & supplies$399.10day$82.284513
Adult day servicesOther home & community services$47.3215 min$15.6436
Adult foster careOther home & community services$147.58——11
Case management / support coordinationOther home & community services$21.8615 min$100.56211
Financial management services (self-direction)Other home & community services$49.40—$208.5833
Home-delivered mealsOther home & community services$13.091 Unit per Meal—12
Respite care (daily)Other home & community services$228.21——55
Respite care (hourly)Other home & community services$5.6915 min$22.7663
Self-direction coaching / supports brokerOther home & community services$4.3515 min$17.4042
Home health aide visitHome health$59.881 Unit per Visit—18
Home health nurse visit (RN or LPN)Home health$22.4415 min$89.76105
Home health occupational therapyHome health$34.7215 min$131.949
Home health physical therapyHome health$34.7215 min$131.949
Home health speech therapyHome health$69.4415 min$131.9412
Hospice continuous home care (hourly)Hospice$1,679.53day—6
Hospice end-of-life visit add-on (per hour)Hospice$17.5015 min$69.986
Hospice general inpatient care (daily)Hospice$1,195.53day—6
Hospice inpatient respite (daily)Hospice$557.65day—6
Hospice routine home care (daily)Hospice$199.73day—12
IHS / tribal hospital stay (all-inclusive daily rate)Hospital inpatient$5,707.00day—1
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$0.90——2927
Inpatient DRG relative weightHospital inpatient$1.25——3990
Inpatient hospital stay (DRG base rate)Hospital inpatient$6,103.18——165
Inpatient hospital stay (per diem)Hospital inpatient$1,011.49day—48
Inpatient payment adjustment factorHospital inpatient$0.9747——352
Inpatient psychiatric stay (per day)Hospital inpatient$678.64——60
Organ or stem-cell transplant case rate (per component)Hospital inpatient$17,682.00——671
IHS / tribal outpatient visit (all-inclusive rate)Hospital outpatient$826.00visit—1
Outpatient hospital payment methodHospital outpatient$0.1323——2
Outpatient hospital services (fee schedule)Hospital outpatient$201.88—$33.7912867
Outpatient payment adjustment factorHospital outpatient$1.39——8
Surgery center facility fee (per procedure)Hospital outpatient$926.87——5135
Day habilitation / day program (IDD)IDD services$3.4315 min$13.7229
Employment explorationIDD services$4.4115 min$17.6412
In-home and community living supports (IDD)IDD services$4.9215 min$19.6812
Intensive behavioral residential supportsIDD services$752.22hour$37.6173
IRA room and board supplement (monthly)IDD services$28.23day—84
Prevocational servicesIDD services$3.1915 min$12.7412
Residential habilitation / group home supportsIDD services$469.36hour$27.70900
Supported employment (job coaching)IDD services$19.02day$21.9424
Clinical lab testsLab & pathology$16.79——5902
Nursing home bed-hold (leave) dayNursing facility$212.60day—52
Nursing home stay (daily rate)Nursing facility$232.16day—78
Dialysis facility composite rate (per treatment)Other$129.19——15
Directed payment uniform increase (required MCO uplift)Other$2.00%—25
Doula support during labor and deliveryOther$781.32day—1
Doula visit (prenatal or postpartum)Other$16.2815 min$65.121
Managed care capitation rateOther$839.57member month—109
Traditional healing servicesOther$289.94——1
Companion carePersonal care & attendant$6.8815 min$24.7627
Homemaker / housekeeping helpPersonal care & attendant$7.7015 min$30.8021
Personal care (daily rate)Personal care & attendant$274.98——8
Personal care / attendant care (hourly)Personal care & attendant$6.7215 min$26.8889
Physician-administered drugs (J-codes)Pharmacy$12.48——2126
Vaccines and immune globulinsPharmacy$109.92——277
Private duty nursing (hourly shifts)Private duty nursing$49.95hour$49.9560
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$17.4615 min$69.8418
Anesthesia conversion factorPhysician & professional$32.12——276
Community health worker education and trainingPhysician & professional$12.59——17
Physician and practitioner services (fee schedule)Physician & professional$555.45—$91.10108045
Imaging and radiologyRadiology$109.52——9047
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$29.6415 min$118.5630
Occupational therapy evaluationTherapy (PT/OT/speech)$94.33——56
Other therapy servicesTherapy (PT/OT/speech)$27.23—$126.20558
Physical therapy evaluationTherapy (PT/OT/speech)$92.10——56
Respiratory therapy at homeTherapy (PT/OT/speech)$313.53——12
Respiratory therapy evaluationTherapy (PT/OT/speech)$52.25——12
Speech-generating device evaluationTherapy (PT/OT/speech)$114.67——42
Speech-generating device therapyTherapy (PT/OT/speech)$73.92——14
Speech-language evaluationTherapy (PT/OT/speech)$116.85——58
Speech-language therapyTherapy (PT/OT/speech)$95.02——279
Swallowing and feeding evaluationTherapy (PT/OT/speech)$56.65——86
Swallowing and feeding therapyTherapy (PT/OT/speech)$83.40——16
Air ambulance transportTransportation$2,453.90——4
Ambulance extras (waiting time, extra attendant, neonatal)Transportation$124.37——124
Ambulance mileageTransportation$13.37mile—126
Ground ambulance transportTransportation$1,081.59——253
Non-emergency medical transportation (NEMT)Transportation$1.04mile—69
Waiver transportation (to community activities)Transportation$29.81Per Trip—12
Eye exams and vision servicesVision & hearing$38.30——901
Eyeglasses and contact lensesVision & hearing$84.13——300
Hearing aids and hearing servicesVision & hearing$589.33——46
Hearing tests and audiology servicesVision & hearing$43.02——678

Most-compared billing codes in Arizona

Where Arizona ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceArizonaAll-state medianRank
10004Physician and practitioner services (fee schedule)$46.91$35.521 of 19
10005Physician and practitioner services (fee schedule)$65.15$60.637 of 19
10006Physician and practitioner services (fee schedule)$44.97$39.905 of 19
10007Physician and practitioner services (fee schedule)$83.21$76.746 of 19
10008Physician and practitioner services (fee schedule)$48.86$46.949 of 19
10009Physician and practitioner services (fee schedule)$117.28$93.035 of 19
10010Physician and practitioner services (fee schedule)$77.81$65.324 of 19
10021Physician and practitioner services (fee schedule)$59.57$49.777 of 19
10030Physician and practitioner services (fee schedule)$122.87$119.438 of 19
10035Physician and practitioner services (fee schedule)$74.36$70.269 of 19
10036Physician and practitioner services (fee schedule)$38.24$35.417 of 19
10060Physician and practitioner services (fee schedule)$117.28$76.161 of 19
10061Physician and practitioner services (fee schedule)$202.54$129.161 of 19
10080Physician and practitioner services (fee schedule)$115.79$78.735 of 19
10081Physician and practitioner services (fee schedule)$187.27$127.865 of 19
10120Physician and practitioner services (fee schedule)$116.17$77.442 of 19
10121Physician and practitioner services (fee schedule)$201.05$135.292 of 19
10140Physician and practitioner services (fee schedule)$129.94$86.452 of 19
10160Physician and practitioner services (fee schedule)$106.11$69.522 of 19
10180Physician and practitioner services (fee schedule)$195.47$148.103 of 19
11000Physician and practitioner services (fee schedule)$30.16$24.524 of 19
11001Physician and practitioner services (fee schedule)$16.01$12.364 of 19
11004Physician and practitioner services (fee schedule)$521.57$437.212 of 19
11005Physician and practitioner services (fee schedule)$713.13$573.022 of 19
11006Physician and practitioner services (fee schedule)$643.73$542.163 of 19
11008Physician and practitioner services (fee schedule)$251.40$206.562 of 19
11010Physician and practitioner services (fee schedule)$257.77$225.245 of 19
11011Physician and practitioner services (fee schedule)$273.71$229.466 of 19
11012Physician and practitioner services (fee schedule)$374.27$326.267 of 19
11042Physician and practitioner services (fee schedule)$57.72$50.807 of 19
11043Physician and practitioner services (fee schedule)$143.40$134.218 of 19
11044Physician and practitioner services (fee schedule)$208.56$182.125 of 19
11055Physician and practitioner services (fee schedule)$16.75$14.808 of 19
11056Physician and practitioner services (fee schedule)$23.83$20.389 of 19
11057Physician and practitioner services (fee schedule)$31.27$26.138 of 19
11102Physician and practitioner services (fee schedule)$40.96$32.236 of 19
11103Physician and practitioner services (fee schedule)$23.83$18.656 of 19
11104Physician and practitioner services (fee schedule)$50.64$40.436 of 19
11105Physician and practitioner services (fee schedule)$27.55$22.056 of 19
11106Physician and practitioner services (fee schedule)$61.44$49.216 of 19

Managed care in Arizona

19 plans on record, 25 state-directed payment records, 1,217 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

Frequently asked questions

Where does Arizona publish its Medicaid fee schedules?

Arizona publishes rates across 150 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Arizona publish?

169,871 rates are current across 130 services and 11 programs, with 612,400 versions on record since 2003-01-01.

Do Arizona Medicaid managed-care plans pay the fee schedule?

For 8 of 22 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.

Other states

Your Arizona rate cardYour codes, what Arizona pays, what plans must pay, and every change in 2026.
Medicaid rates by state