Three ways to get Medicaid rates

Same data underneath. Pick the interface that fits how your team works.

6 states650K+ providers4+ years of historical data

In your browser

Pricing Tool

Get ad hoc Medicaid rates in seconds, with just a few clicks.

Built for providers and consultants estimating rates for individual claims.

  • Outpatient rates and inpatient claims, showing all calculation details and where data is sourced from
  • Provider-specific rates, searchable by NPI or name
  • Price dates of service going back 4+ years
  • Unlimited lookups for your organization
  • Printable outputs to share what you find

From $299/month per state

Try it free →

No signup required

In your workflow

API

The engine that powers our Pricing Tool, at your fingertips. Integrate once, price claims at scale inside your own product.

Built for tech-savvy teams pricing Medicaid claims in bulk, integrated into their own products.

  • Single and batch endpoints for outpatient and inpatient pricing
  • Free provider lookups powered by each state's enrollment files
  • Every response shows the calculation behind the payment
  • Usage pooled across all purchased states

As low as $0.10 per inpatient claim

View docs →

or get in touch about access

In your warehouse

Data Licensing

The full dataset, delivered: every rate, code, and provider we maintain, structured for your stack.

Built for data teams who need the whole picture: trending, forecasting, and benchmarking Medicaid rates against their own.

  • Structured exports in tables with a standardized schema. Refreshed monthly
  • Full effective-date history, traceable to the state publication each rate came from
  • Includes the Pricing Tool: unlimited web access for every licensed state

Priced per state, per year

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Not sure which fits?

Tell us what you're pricing and we'll point you at the right one.

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