Missouri Medicaid reimbursement rates
68,416 current fee-for-service and managed-care rates from Missouri Medicaid, across 104 services and 13 programs, normalized by code, provider level and unit. Each links to one of 59 official source documents.
Last retrieved 2026-10-05. History back to 1981-11-01.
- Current rates
- 68,416
- Services
- 104
- Programs
- 13
- Lines with a plan rule
- 17of 22 service lines
By industry
Applied behavior analysis (ABA)Missouri rates, labor costs and changesBehavioral healthMissouri rates, labor costs and changesHome healthMissouri rates, labor costs and changesHome care & personal careMissouri rates, labor costs and changesPrivate duty nursingMissouri rates, labor costs and changesSkilled nursing facilitiesMissouri rates, labor costs and changesHospiceMissouri rates, labor costs and changesIntellectual & developmental disabilitiesMissouri rates, labor costs and changesOutpatient therapy (PT, OT, speech)Missouri rates, labor costs and changes
Missouri 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.
Most-compared billing codes in Missouri
Where Missouri ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Missouri | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $38.50 | $36.98 | 10 of 25 |
| 10005 | Physician and practitioner services (fee schedule) | $104.64 | $65.15 | 5 of 25 |
| 10006 | Physician and practitioner services (fee schedule) | $45.49 | $41.54 | 8 of 25 |
| 10007 | Physician and practitioner services (fee schedule) | $229.17 | $82.81 | 5 of 25 |
| 10008 | Physician and practitioner services (fee schedule) | $100.10 | $52.43 | 7 of 25 |
| 10009 | Physician and practitioner services (fee schedule) | $344.66 | $100.27 | 7 of 25 |
| 10010 | Physician and practitioner services (fee schedule) | $161.88 | $71.32 | 7 of 25 |
| 10021 | Physician and practitioner services (fee schedule) | $80.11 | $53.00 | 5 of 25 |
| 10030 | Physician and practitioner services (fee schedule) | $408.75 | $122.87 | 5 of 25 |
| 10035 | Physician and practitioner services (fee schedule) | $348.86 | $75.57 | 7 of 25 |
| 10036 | Physician and practitioner services (fee schedule) | $242.29 | $38.24 | 7 of 25 |
| 10060 | Physician and practitioner services (fee schedule) | $75.17 | $75.17 | 13 of 25 |
| 10061 | Physician and practitioner services (fee schedule) | $128.72 | $128.72 | 13 of 25 |
| 10080 | Physician and practitioner services (fee schedule) | $65.57 | $78.73 | 16 of 25 |
| 10081 | Physician and practitioner services (fee schedule) | $150.97 | $146.12 | 11 of 25 |
| 10120 | Physician and practitioner services (fee schedule) | $90.77 | $79.49 | 8 of 25 |
| 10121 | Physician and practitioner services (fee schedule) | $200.69 | $137.63 | 5 of 25 |
| 10140 | Physician and practitioner services (fee schedule) | $103.16 | $89.02 | 8 of 25 |
| 10160 | Physician and practitioner services (fee schedule) | $78.20 | $69.52 | 10 of 25 |
| 10180 | Physician and practitioner services (fee schedule) | $199.92 | $151.28 | 4 of 25 |
| 11000 | Physician and practitioner services (fee schedule) | $35.27 | $26.25 | 8 of 25 |
| 11001 | Physician and practitioner services (fee schedule) | $9.55 | $13.80 | 22 of 25 |
| 11004 | Physician and practitioner services (fee schedule) | $341.96 | $437.21 | 20 of 25 |
| 11005 | Physician and practitioner services (fee schedule) | $116.49 | $574.70 | 23 of 25 |
| 11006 | Physician and practitioner services (fee schedule) | $421.10 | $542.16 | 20 of 25 |
| 11008 | Physician and practitioner services (fee schedule) | $41.07 | $208.64 | 25 of 25 |
| 11010 | Physician and practitioner services (fee schedule) | $344.90 | $243.78 | 5 of 25 |
| 11011 | Physician and practitioner services (fee schedule) | $379.13 | $268.00 | 4 of 25 |
| 11012 | Physician and practitioner services (fee schedule) | $492.20 | $374.27 | 5 of 25 |
| 11042 | Physician and practitioner services (fee schedule) | $98.39 | $56.10 | 6 of 25 |
| 11043 | Physician and practitioner services (fee schedule) | $176.06 | $143.40 | 7 of 25 |
| 11044 | Physician and practitioner services (fee schedule) | $233.89 | $202.01 | 7 of 25 |
| 11055 | Physician and practitioner services (fee schedule) | $43.88 | $16.75 | 5 of 25 |
| 11056 | Physician and practitioner services (fee schedule) | $50.24 | $24.83 | 5 of 25 |
| 11057 | Physician and practitioner services (fee schedule) | $55.16 | $31.27 | 5 of 25 |
| 11102 | Physician and practitioner services (fee schedule) | $77.51 | $34.98 | 6 of 25 |
| 11103 | Physician and practitioner services (fee schedule) | $38.65 | $20.25 | 7 of 25 |
| 11104 | Physician and practitioner services (fee schedule) | $96.32 | $43.87 | 5 of 25 |
| 11105 | Physician and practitioner services (fee schedule) | $45.01 | $23.93 | 6 of 25 |
| 11106 | Physician and practitioner services (fee schedule) | $119.19 | $53.40 | 5 of 25 |
Managed care in Missouri
4 plans on record, 25 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Missouri publish its Medicaid fee schedules?
Missouri publishes rates across 59 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Missouri publish?
68,416 rates are current across 104 services and 13 programs, with 73,169 versions on record since 1981-11-01.
Do Missouri Medicaid managed-care plans pay the fee schedule?
For 17 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 Missouri rate cardYour codes, what Missouri pays, what plans must pay, and every change in 2026.