Free Medicaid Fee Schedules by State

Get real Medicaid reimbursement rates for the billing codes you care about — free CSV, up to 5 states.

Tell us the states and billing codes you need. We'll email you a CSV with rates, rate type, and effective date for each line item.

Please use a company email — personal/free email addresses aren't accepted.

Comma-separated, up to 200 codes.

Free for up to 5 states. Rates reflect the most recent data Medlyze has on file as of each row's effective date and may not capture the latest state updates — verify against your state Medicaid agency before billing.

Why Medicaid rates are hard to find

Unlike Medicare, which publishes one national fee schedule, Medicaid is administered separately by all 50 states. Each state sets its own reimbursement rates, publishes them in its own format — PDF, Excel workbook, sometimes a legacy XML or XLS export — and revises them on its own calendar. Finding the current rate for a single billing code in a single state can mean digging through a state Medicaid agency's provider portal; finding rates across several states means repeating that search over and over.

Medlyze already does that work: we track and normalize 76,000+ Medicaid rates across all 50 states, covering 2,400+ billing codes, each with its rate type, modifier, and effective date. This tool gives you free, direct access to that dataset for up to 5 states at a time.

How it works

1

Pick your states and codes

Choose up to 5 states and list the billing codes you need — no account or credit card required.

2

We pull from our normalized dataset

Medlyze already tracks 76,000+ Medicaid rates across all 50 states and 2,400+ billing codes, collected and normalized from each state's own fee schedule.

3

Get your CSV by email

We email your fee schedule CSV, typically within 1-2 business days.

What's in the CSV

ColumnWhat it means
Billing CodeThe billing code you requested
ModifierApplicable billing modifiers, where relevant (e.g. rental, used/refurbished)
StateTwo-letter state abbreviation
Medicaid RateThe reimbursement rate on file for that code, state, and modifier
Rate TypeFee schedule, Medicare-crosswalk, or manually-priced (MSRP) rate
Effective DateThe date that rate took effect, so you know how current it is
What you may be thinking

Is there a single national Medicaid fee schedule?

No. Medicaid is administered separately by each state — there's no single national fee schedule like Medicare's. Every state sets its own reimbursement rates, publishes them in its own format (PDF, Excel, and in a few states, legacy XML or XLS exports), and updates them on its own schedule.

How current are the rates in this dataset?

Every row carries the effective date we have on file for that state and billing code. States revise fee schedules on different cadences — some quarterly, some only when a specific rate changes — so always confirm against your state Medicaid agency before billing off any rate in the CSV.

What's the difference between Medicaid and Medicare reimbursement rates?

Medicare publishes national fee schedules with rate ceilings adjusted for geography and, for some categories, competitive bidding. Medicaid rates are set independently by each state — some peg a percentage of the Medicare rate, others publish an entirely separate fee schedule — and are frequently lower and revised on a different calendar than Medicare's.

What billing codes and rate types are covered?

Our dataset spans billing codes across the Medicaid fee schedules we've collected and normalized state by state, including fee-schedule rates, Medicare-crosswalk rates, and manually-priced (MSRP) rates where a state doesn't publish a fee-schedule rate for a code. Tell us the specific codes you need and we'll tell you what we have.

Can I request more than 5 states or additional billing codes later?

The free tier covers up to 5 states and 200 billing codes per request. If you need broader coverage — more states, a fuller code set, or ongoing updates — reply to your confirmation email and we'll talk through Medlyze's full Medicaid rate data offering.

Is this really free?

Yes — up to 5 states, no cost, no credit card. We ask for a company email address so we can route the CSV to the right person and keep the request form spam-free.

Want the full picture first?

Read our guide on why Medicaid fee schedule lookup by state is harder than Medicare — what trips up a naive lookup, and how states differ on format, modifiers, and rate history.

Need commercial payer rates too?

Medlyze also maintains payer-negotiated rate data from price transparency files. Try our free Rate Search Tool or browse the rest of our free resources. Want enrollment, funding, and managed-care facts for a state's Medicaid program? See our state Medicaid program profiles.