Fee Schedules
Medicare fee schedule: how to create your own
State-run Medicaid fee schedules: Alabama – Alaska – Arizona – Arkansas – California – Colorado – Connecticut – Delaware – DC – Florida – Georgia – Hawaii – Idaho – Illinois – Indiana – Iowa – Kansas – Kentucky – Louisiana – Maine – Maryland – Massachusetts – Michigan – Minnesota – Mississippi – Missouri – Montana – Nebraska – Nevada – New Hampshire – New Jersey – New Mexico – New York – North Carolina – North Dakota – Ohio – Oklahoma – Oregon –Pennsylvania – Rhode Island – South Carolina – South Dakota – Texas – Utah – Vermont – Virginia – Washington – West Virginia – Wisconsin – Wyoming
Tennessee has no state-run Medicaid plan.
Also compare KFF’s Medicaid-to-Medicare fee index by state
Real Time Claims Estimators
Real-time claims estimators: Cigna
- CignaForHCP > Patients
- Enter patient information.
- Click Estimate Costs.
Real-time claims estimators: Aetna, Cigna, Humana, local BCBS plans (BCBS AR, FL, IL, KS, MS, NM, OK, SC, TN, TX and Highmark):
- Availity > Patient Registration > Eligibility & Benefits Inquiry
- Select payer from the dropdown.
- Enter patient information.
- Click Patient Care Estimator.
Real-time claims estimators: United plans:
- UHCProvider > Link > United Healthcare Claim Estimator
- Click Pre-Determination of Benefits > Agree
- Confirm provider information > Continue
- Enter patient information.