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Nevada Medicaid reimbursement rates

79,042 current fee-for-service and managed-care rates from Nevada Medicaid, across 109 services and 13 programs, normalized by code, provider level and unit. Each links to one of 82 official source documents.

Last retrieved 2026-10-05. History back to 1980-01-01.

Current rates
79,042
Services
109
Programs
13
Lines with a plan rule
18of 21 service lines

By industry

Nevada 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$29.1415 min$116.563
ABA assessment support by a technicianABA / autism services$21.0515 min$84.207
ABA assessment with 2+ technicians (severe behavior)ABA / autism services$35.0915 min$140.363
ABA parent and caregiver trainingABA / autism services$21.3215 min$85.283
ABA therapy with 2+ technicians (severe behavior)ABA / autism services$20.5015 min$82.007
ABA therapy with plan changes by an analystABA / autism services$20.5015 min$82.007
Group ABA parent training (several families)ABA / autism services$11.7015 min$46.803
Group ABA therapy led by a technicianABA / autism services$7.5015 min$30.009
Group ABA therapy led by an analystABA / autism services$14.2815 min$57.123
One-on-one ABA therapy by a technicianABA / autism services$18.0615 min$72.247
Behavioral health services (fee schedule)Behavioral health$29.85—$60.00361
Mental health assessment (non-physician)Behavioral health$182.59——9
Mental health counselingBehavioral health$25.5715 min$63.928
Outpatient psychotherapy and diagnostic evaluationBehavioral health$81.42—$115.56348
Psychiatric residential treatment (daily)Behavioral health$800.00day—4
Skills training and developmentBehavioral health$5.8415 min$23.3446
Therapeutic behavioral servicesBehavioral health$23.3515 min$93.401
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$439.86——17
Dental servicesDental$101.95——1068
Durable medical equipmentEquipment & supplies$114.52—$84.881507
Enteral and parenteral nutritionEquipment & supplies$7.39day—35
Medical suppliesEquipment & supplies$8.62——1460
Orthotics and prostheticsEquipment & supplies$404.22—$31.881859
Adult day servicesOther home & community services$42.0015 min$7.004
Assisted living / alternative living servicesOther home & community services$103.13day—10
Case management / support coordinationOther home & community services$15.8415 min$34.4419
Chore services (heavy cleaning, yard work, pest control)Other home & community services$6.2515 min$25.001
Emergency response system installationOther home & community services$45.00——2
Emergency response system monitoringOther home & community services$40.00one time—4
HCBS waiver service (other)Other home & community services$13.41——3
Health Home care management (per month)Other home & community services$247.54—$154.522
Home modifications (accessibility)Other home & community services$3,230.00one time—1
Home-delivered mealsOther home & community services$10.31meal—1
Nursing assessmentOther home & community services$22.89visit—4
Other waiver goods and servicesOther home & community services$3,000.00year—1
Respite care (daily)Other home & community services$150.00day—1
Respite care (hourly)Other home & community services$6.2515 min$25.004
Home health agency daily rate / overheadHome health$373.75day—2
Home health aide visitHome health$8.0315 min$32.102
Home health nurse visit (RN or LPN)Home health$24.0115 min$96.024
Home health occupational therapyHome health$25.2215 min$100.884
Home health physical therapyHome health$25.2215 min$100.884
Home health speech therapyHome health$25.2215 min$100.884
Hospital administrative (non-acute) dayHospital inpatient$213.00day—6
Inpatient hospital stay (per diem)Hospital inpatient$1,538.00day—66
Inpatient psychiatric stay (per day)Hospital inpatient$944.00day—38
Organ or stem-cell transplant case rate (per component)Hospital inpatient$74,777.50——12
Outpatient hospital services (fee schedule)Hospital outpatient$188.05—$106.3819250
Surgery center facility fee (per procedure)Hospital outpatient$944.74——2847
Behavior support services (disability waiver)IDD services$27.4515 min$110.245
Day habilitation / day program (IDD)IDD services$4.53hour$16.4035
In-home and community living supports (IDD)IDD services$4.8915 min$42.5813
Intensive behavioral residential supportsIDD services$24.6115 min$98.443
Prevocational servicesIDD services$4.05day$15.7817
Residential habilitation / group home supportsIDD services$363.91day—12
Shared living / host home / family modelIDD services$162.95day—7
Supported employment (job coaching)IDD services$5.26hour$19.2423
Transitional / crisis stabilization living supportsIDD services$21.3615 min$85.441
Clinical lab testsLab & pathology$10.38——5229
Nursing home daily add-on (ventilator, trach, insurance)Nursing facility$222.45day—3
Nursing home stay (daily rate)Nursing facility$161.08day—80
Nursing home ventilator care (daily rate)Nursing facility$643.89day—80
Specialty nursing home daily rate (pediatric or IDD class)Nursing facility$827.93day—8
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$117.00day—1
Dialysis facility composite rate (per treatment)Other$203.37——2
Directed payment uniform increase (required MCO uplift)Other$899.13percent—18
Directed payment: plan payment level (% of benchmark)Other$68.19percent—18
Doula support during labor and deliveryOther$900.00——7
Doula visit (prenatal or postpartum)Other$100.00——2
Managed care capitation rateOther$319.61member month—90
Companion carePersonal care & attendant$6.2515 min$25.002
Home health aide or nurse aide care (hourly)Personal care & attendant$34.87hour$34.873
Homemaker / housekeeping helpPersonal care & attendant$6.2515 min$25.004
Personal care (daily rate)Personal care & attendant$103.00day—3
Personal care / attendant care (hourly)Personal care & attendant$6.2515 min$25.006
Structured family caregiving (daily)Personal care & attendant$137.50day—1
Physician-administered drugs (J-codes)Pharmacy$26.32——1416
Private duty nursing (hourly shifts)Private duty nursing$55.78hour$55.7810
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$23.7815 min$95.1010
Anesthesia base units (per procedure)Physician & professional$5.00base unit—275
Anesthesia conversion factorPhysician & professional$22.57per unit—1
Physician and practitioner services (fee schedule)Physician & professional$434.07—$82.4834622
Telehealth originating-site facility feePhysician & professional$24.24——2
Imaging and radiologyRadiology$82.45——7340
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$19.3715 min$77.4812
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$26.5715 min$91.645
Occupational therapyTherapy (PT/OT/speech)$28.8315 min$115.3012
Occupational therapy evaluationTherapy (PT/OT/speech)$59.33——24
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$33.9415 min$135.7620
Other therapy servicesTherapy (PT/OT/speech)$75.9415 min$49.4111
Physical therapyTherapy (PT/OT/speech)$28.1815 min$112.7215
Physical therapy evaluationTherapy (PT/OT/speech)$58.05——24
Respiratory therapy evaluationTherapy (PT/OT/speech)$69.90——2
Speech-generating device evaluationTherapy (PT/OT/speech)$108.37——6
Speech-generating device therapyTherapy (PT/OT/speech)$93.88——6
Speech-language evaluationTherapy (PT/OT/speech)$89.45——24
Speech-language therapyTherapy (PT/OT/speech)$66.95——6
Swallowing and feeding evaluationTherapy (PT/OT/speech)$75.07——5
Swallowing and feeding therapyTherapy (PT/OT/speech)$72.09——4
Air ambulance transportTransportation$1,914.97——2
Ambulance extras (waiting time, extra attendant, neonatal)Transportation$25.08——6
Ambulance mileageTransportation$7.13mile—3
Ground ambulance transportTransportation$219.73mile—9
Non-emergency medical transportation (NEMT)Transportation$0.32mile—5
Waiver transportation (to community activities)Transportation$24.01trip—9
Eye exams and vision servicesVision & hearing$93.02——7
Eyeglasses and contact lensesVision & hearing$77.05——274
Hearing aids and hearing servicesVision & hearing$350.00——130
Hearing tests and audiology servicesVision & hearing$24.24——1

Most-compared billing codes in Nevada

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

CodeServiceNevadaAll-state medianRank
10005Physician and practitioner services (fee schedule)$74.95$88.1933 of 50
10006Physician and practitioner services (fee schedule)$51.04$46.2316 of 50
10007Physician and practitioner services (fee schedule)$96.41$203.9533 of 50
10008Physician and practitioner services (fee schedule)$62.86$95.0932 of 50
10009Physician and practitioner services (fee schedule)$116.77$276.5534 of 50
10010Physician and practitioner services (fee schedule)$85.34$157.4432 of 50
10021Physician and practitioner services (fee schedule)$74.47$73.9125 of 50
10030Physician and practitioner services (fee schedule)$162.47$401.1230 of 50
10060Physician and practitioner services (fee schedule)$100.38$88.7417 of 50
10061Physician and practitioner services (fee schedule)$186.94$153.3012 of 50
10080Physician and practitioner services (fee schedule)$108.45$129.4729 of 50
10081Physician and practitioner services (fee schedule)$181.07$200.5128 of 50
10120Physician and practitioner services (fee schedule)$108.38$98.4122 of 50
10121Physician and practitioner services (fee schedule)$194.86$171.2221 of 50
10140Physician and practitioner services (fee schedule)$123.96$109.7920 of 50
10160Physician and practitioner services (fee schedule)$100.40$86.1019 of 50
10180Physician and practitioner services (fee schedule)$187.92$182.5224 of 50
11000Physician and practitioner services (fee schedule)$29.84$38.0533 of 50
11001Physician and practitioner services (fee schedule)$14.93$18.3431 of 50
11004Physician and practitioner services (fee schedule)$608.32$437.246 of 50
11005Physician and practitioner services (fee schedule)$820.73$594.325 of 50
11006Physician and practitioner services (fee schedule)$737.37$545.226 of 50
11008Physician and practitioner services (fee schedule)$287.76$211.945 of 50
11010Physician and practitioner services (fee schedule)$292.22$286.7125 of 50
11011Physician and practitioner services (fee schedule)$316.80$326.1727 of 50
11012Physician and practitioner services (fee schedule)$447.48$442.7125 of 50
11042Physician and practitioner services (fee schedule)$64.62$84.5532 of 50
11043Physician and practitioner services (fee schedule)$165.23$167.8926 of 50
11044Physician and practitioner services (fee schedule)$246.32$227.0221 of 50
11055Physician and practitioner services (fee schedule)$16.70$40.2436 of 50
11056Physician and practitioner services (fee schedule)$23.59$47.3536 of 50
11057Physician and practitioner services (fee schedule)$30.86$52.5334 of 50
11102Physician and practitioner services (fee schedule)$40.72$71.2837 of 50
11103Physician and practitioner services (fee schedule)$23.58$36.8336 of 50
11104Physician and practitioner services (fee schedule)$51.09$84.9336 of 50
11105Physician and practitioner services (fee schedule)$27.87$42.8035 of 50
11106Physician and practitioner services (fee schedule)$62.15$101.3636 of 50
11107Physician and practitioner services (fee schedule)$33.23$50.8234 of 50
11300Physician and practitioner services (fee schedule)$36.69$55.5132 of 50
11301Physician and practitioner services (fee schedule)$55.77$67.4329 of 50

Managed care in Nevada

9 plans on record, 36 state-directed payment records, 360 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

Frequently asked questions

Where does Nevada publish its Medicaid fee schedules?

Nevada publishes rates across 82 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Nevada publish?

79,042 rates are current across 109 services and 13 programs, with 120,610 versions on record since 1980-01-01.

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

For 18 of 21 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 Nevada rate cardYour codes, what Nevada pays, what plans must pay, and every change in 2026.
Medicaid rates by state