MedicaidRateStart free trial
For billing, RCM and EVV software

Current Medicaid rates in your product, through one API.

Effective-dated rates by state, code, modifier, program and payer, with stable ids, change events and a Stripe-style reference with live examples.

Open api referencePricing
Rate card with its equivalent API request
The questions

What you need answered

  • What is the rate in effect today, or on a date of service, for this code and modifier?
  • Which rates changed since our last sync?
  • Does this service need prior authorization from this plan?
Where to answer them

API reference→

Every endpoint with parameters, cURL, Python and Node examples, and real responses.

API console→

Send live requests and copy the code.

Coverage rules→

Covered, prior-auth and unit-limit rules by state, program and plan.

Also built for
Provider organizations →Multi-state operators & investors →Associations & consultants →Health plans, systems & states →

Every number linked to its source.

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Medicaid rates by state
ArizonaCaliforniaColoradoFloridaGeorgiaIllinoisIndianaMassachusettsMichiganMinnesotaNebraskaNew JerseyNew YorkNorth CarolinaOhioPennsylvaniaTennesseeTexasVirginiaWashington