South Dakota Medicaid reimbursement rates
41,546 current fee-for-service and managed-care rates from South Dakota Medicaid, across 146 services and 10 programs, normalized by code, provider level and unit. Each links to one of 58 official source documents.
Last retrieved 2026-10-05. History back to 1988-07-01.
- Current rates
- 41,546
- Services
- 146
- Programs
- 10
- Lines with a plan rule
- 0of 22 service lines
By industry
Applied behavior analysis (ABA)South Dakota rates, labor costs and changesBehavioral healthSouth Dakota rates, labor costs and changesHome healthSouth Dakota rates, labor costs and changesHome care & personal careSouth Dakota rates, labor costs and changesPrivate duty nursingSouth Dakota rates, labor costs and changesSkilled nursing facilitiesSouth Dakota rates, labor costs and changesHospiceSouth Dakota rates, labor costs and changesIntellectual & developmental disabilitiesSouth Dakota rates, labor costs and changesOutpatient therapy (PT, OT, speech)South Dakota rates, labor costs and changes
South Dakota 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 South Dakota
Where South Dakota ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | South Dakota | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $127.62 | $85.55 | 6 of 48 |
| 10006 | Physician and practitioner services (fee schedule) | $57.01 | $45.64 | 7 of 48 |
| 10007 | Physician and practitioner services (fee schedule) | $326.53 | $186.96 | 5 of 48 |
| 10008 | Physician and practitioner services (fee schedule) | $136.15 | $92.51 | 9 of 48 |
| 10009 | Physician and practitioner services (fee schedule) | $393.14 | $273.41 | 9 of 48 |
| 10010 | Physician and practitioner services (fee schedule) | $226.65 | $153.30 | 9 of 48 |
| 10021 | Physician and practitioner services (fee schedule) | $96.02 | $71.68 | 8 of 48 |
| 10030 | Physician and practitioner services (fee schedule) | $602.87 | $382.62 | 7 of 48 |
| 10060 | Physician and practitioner services (fee schedule) | $121.31 | $88.74 | 6 of 48 |
| 10061 | Physician and practitioner services (fee schedule) | $205.35 | $153.30 | 6 of 48 |
| 10080 | Physician and practitioner services (fee schedule) | $255.83 | $129.47 | 6 of 48 |
| 10081 | Physician and practitioner services (fee schedule) | $356.53 | $200.51 | 6 of 48 |
| 10120 | Physician and practitioner services (fee schedule) | $148.82 | $98.41 | 6 of 48 |
| 10121 | Physician and practitioner services (fee schedule) | $257.46 | $171.22 | 6 of 48 |
| 10140 | Physician and practitioner services (fee schedule) | $163.76 | $109.79 | 6 of 48 |
| 10160 | Physician and practitioner services (fee schedule) | $125.01 | $86.10 | 6 of 48 |
| 10180 | Physician and practitioner services (fee schedule) | $267.46 | $181.20 | 6 of 48 |
| 11000 | Physician and practitioner services (fee schedule) | $56.92 | $37.55 | 7 of 48 |
| 11001 | Physician and practitioner services (fee schedule) | $25.64 | $17.78 | 7 of 48 |
| 11004 | Physician and practitioner services (fee schedule) | $457.67 | $437.24 | 18 of 48 |
| 11005 | Physician and practitioner services (fee schedule) | $616.22 | $593.30 | 17 of 48 |
| 11006 | Physician and practitioner services (fee schedule) | $561.39 | $545.22 | 18 of 48 |
| 11008 | Physician and practitioner services (fee schedule) | $216.77 | $210.47 | 19 of 48 |
| 11010 | Physician and practitioner services (fee schedule) | $436.81 | $279.22 | 6 of 48 |
| 11011 | Physician and practitioner services (fee schedule) | $498.60 | $321.34 | 6 of 48 |
| 11012 | Physician and practitioner services (fee schedule) | $634.44 | $431.82 | 6 of 48 |
| 11042 | Physician and practitioner services (fee schedule) | $125.18 | $82.72 | 6 of 48 |
| 11043 | Physician and practitioner services (fee schedule) | $222.11 | $165.09 | 7 of 48 |
| 11044 | Physician and practitioner services (fee schedule) | $295.73 | $227.02 | 7 of 48 |
| 11055 | Physician and practitioner services (fee schedule) | $67.04 | $38.32 | 6 of 48 |
| 11056 | Physician and practitioner services (fee schedule) | $77.47 | $45.25 | 6 of 48 |
| 11057 | Physician and practitioner services (fee schedule) | $84.67 | $50.83 | 6 of 48 |
| 11102 | Physician and practitioner services (fee schedule) | $94.20 | $70.00 | 5 of 48 |
| 11103 | Physician and practitioner services (fee schedule) | $46.20 | $36.04 | 10 of 48 |
| 11104 | Physician and practitioner services (fee schedule) | $115.08 | $82.45 | 8 of 48 |
| 11105 | Physician and practitioner services (fee schedule) | $56.84 | $42.01 | 7 of 48 |
| 11106 | Physician and practitioner services (fee schedule) | $143.44 | $100.59 | 6 of 48 |
| 11107 | Physician and practitioner services (fee schedule) | $67.05 | $48.97 | 7 of 48 |
| 11300 | Physician and practitioner services (fee schedule) | $91.87 | $49.39 | 7 of 48 |
| 11301 | Physician and practitioner services (fee schedule) | $110.45 | $63.36 | 7 of 48 |
Managed care in South Dakota
4 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 South Dakota publish its Medicaid fee schedules?
South Dakota publishes rates across 58 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does South Dakota publish?
41,546 rates are current across 146 services and 10 programs, with 76,379 versions on record since 1988-07-01.
Do South Dakota Medicaid managed-care plans pay the fee schedule?
For 0 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.
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Your South Dakota rate cardYour codes, what South Dakota pays, what plans must pay, and every change in 2026.