New York Medicaid reimbursement rates
299,478 current fee-for-service and managed-care rates from New York Medicaid, across 143 services and 27 programs, normalized by code, provider level and unit. Each links to one of 205 official source documents. New York pays the highest rate of any state we cover for 10005, 10006, 10007.
Last retrieved 2026-10-02. History back to 1987-02-01.
- Current rates
- 299,478
- Services
- 143
- Programs
- 27
- Lines with a plan rule
- 6of 21 service lines
By industry
Applied behavior analysis (ABA)New York rates, labor costs and changesBehavioral healthNew York rates, labor costs and changesHome healthNew York rates, labor costs and changesHome care & personal careNew York rates, labor costs and changesPrivate duty nursingNew York rates, labor costs and changesSkilled nursing facilitiesNew York rates, labor costs and changesHospiceNew York rates, labor costs and changesIntellectual & developmental disabilitiesNew York rates, labor costs and changesOutpatient therapy (PT, OT, speech)New York rates, labor costs and changes
New York 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 New York
Where New York ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | New York | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $46.11per unit | $35.52 | 2 of 19 |
| 10005 | Physician and practitioner services (fee schedule) | $125.13per unit | $60.63 | 1 of 19 |
| 10006 | Physician and practitioner services (fee schedule) | $53.79per unit | $39.90 | 1 of 19 |
| 10007 | Physician and practitioner services (fee schedule) | $275.02per unit | $76.74 | 1 of 19 |
| 10008 | Physician and practitioner services (fee schedule) | $149.61per unit | $46.94 | 1 of 19 |
| 10009 | Physician and practitioner services (fee schedule) | $413.54per unit | $93.03 | 2 of 19 |
| 10010 | Physician and practitioner services (fee schedule) | $242.05per unit | $65.32 | 2 of 19 |
| 10021 | Physician and practitioner services (fee schedule) | $91.96per unit | $49.77 | 1 of 19 |
| 10030 | Physician and practitioner services (fee schedule) | $606.89per unit | $119.43 | 1 of 19 |
| 10035 | Physician and practitioner services (fee schedule) | $353.13per unit | $70.26 | 2 of 19 |
| 10036 | Physician and practitioner services (fee schedule) | $307.19per unit | $35.41 | 2 of 19 |
| 10060 | Physician and practitioner services (fee schedule) | $112.05per unit | $76.16 | 2 of 19 |
| 10061 | Physician and practitioner services (fee schedule) | $192.84per unit | $129.16 | 2 of 19 |
| 10080 | Physician and practitioner services (fee schedule) | $236.22per unit | $78.73 | 1 of 19 |
| 10081 | Physician and practitioner services (fee schedule) | $321.04per unit | $127.86 | 1 of 19 |
| 10120 | Physician and practitioner services (fee schedule) | $135.60per unit | $77.44 | 1 of 19 |
| 10121 | Physician and practitioner services (fee schedule) | $241.30per unit | $135.29 | 1 of 19 |
| 10140 | Physician and practitioner services (fee schedule) | $154.83per unit | $86.45 | 1 of 19 |
| 10160 | Physician and practitioner services (fee schedule) | $116.87per unit | $69.52 | 1 of 19 |
| 10180 | Physician and practitioner services (fee schedule) | $243.58per unit | $148.10 | 1 of 19 |
| 11000 | Physician and practitioner services (fee schedule) | $52.38per unit | $24.52 | 1 of 19 |
| 11001 | Physician and practitioner services (fee schedule) | $24.12per unit | $12.36 | 1 of 19 |
| 11004 | Physician and practitioner services (fee schedule) | $520.87per unit | $437.21 | 3 of 19 |
| 11005 | Physician and practitioner services (fee schedule) | $720.90per unit | $573.02 | 1 of 19 |
| 11006 | Physician and practitioner services (fee schedule) | $645.86per unit | $542.16 | 2 of 19 |
| 11008 | Physician and practitioner services (fee schedule) | $254.66per unit | $206.56 | 1 of 19 |
| 11010 | Physician and practitioner services (fee schedule) | $417.78per unit | $225.24 | 1 of 19 |
| 11011 | Physician and practitioner services (fee schedule) | $460.30per unit | $229.46 | 1 of 19 |
| 11012 | Physician and practitioner services (fee schedule) | $597.95per unit | $326.26 | 1 of 19 |
| 11042 | Physician and practitioner services (fee schedule) | $118.01per unit | $50.80 | 1 of 19 |
| 11043 | Physician and practitioner services (fee schedule) | $212.01per unit | $134.21 | 2 of 19 |
| 11044 | Physician and practitioner services (fee schedule) | $282.02per unit | $182.12 | 2 of 19 |
| 11055 | Physician and practitioner services (fee schedule) | $65.92per unit | $14.80 | 1 of 19 |
| 11056 | Physician and practitioner services (fee schedule) | $75.08per unit | $20.38 | 1 of 19 |
| 11057 | Physician and practitioner services (fee schedule) | $82.25per unit | $26.13 | 1 of 19 |
| 11102 | Physician and practitioner services (fee schedule) | $92.93per unit | $32.23 | 1 of 19 |
| 11103 | Physician and practitioner services (fee schedule) | $46.28per unit | $18.65 | 2 of 19 |
| 11104 | Physician and practitioner services (fee schedule) | $115.50per unit | $40.43 | 1 of 19 |
| 11105 | Physician and practitioner services (fee schedule) | $53.93per unit | $22.05 | 2 of 19 |
| 11106 | Physician and practitioner services (fee schedule) | $142.94per unit | $49.21 | 1 of 19 |
Managed care in New York
122 plans on record, 0 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does New York publish its Medicaid fee schedules?
New York publishes rates across 205 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does New York publish?
299,478 rates are current across 143 services and 27 programs, with 635,266 versions on record since 1987-02-01.
Do New York Medicaid managed-care plans pay the fee schedule?
For 6 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 New York rate cardYour codes, what New York pays, what plans must pay, and every change in 2026.