TRICARE doula rates · March 1, 2026 to February 28, 2027

What does TRICARE pay doulas where you live?

TRICARE pays certified labor doulas a rate set by the Defense Health Agency for each area of the country. Enter the ZIP code where you see clients to find your rates for 2026.

Rates follow where you provide care, by Medicare locality. Covers all 50 states and DC.

How TRICARE pays doulas

TRICARE covers doula care through its Childbirth and Breastfeeding Support Demonstration, which runs through December 2031. It pays two codes:

  • T1032, prenatal and postpartum visits: paid per 15 minutes, in person, up to 6 hours (24 units) per birth, shared between visits before and after the birth.
  • T1033, labor and birth support: one flat payment per birth.
  • Who's covered: families on TRICARE Prime, Prime Remote and Select. TRICARE For Life isn't included.
  • Who can bill: doulas certified by TRICARE's contractor for their region: TriWest in the West, Humana Military in the East. How to become a TRICARE doula.
  • How much you're paid: TRICARE pays the lower of what you bill and its rate for your area, straight into your own bank account.

All TRICARE doula rates, by state

Visit rates are per 15 minutes (T1032). Birth support is per birth (T1033). The most per pregnancy is 6 hours of visits plus birth support.

TRICARE West · certified by TriWest · 26 states

Alaska 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Alaska$41.60$1,261.52$2,259.92
Arizona 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Arizona$32.33$980.40$1,756.32
Arkansas 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Arkansas$30.19$915.38$1,639.94
California 29 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Bakersfield$34.24$1,038.43$1,860.19
Chico$34.11$1,034.42$1,853.06
El Centro$34.11$1,034.42$1,853.06
Fresno$34.11$1,034.42$1,853.06
Hanford$34.11$1,034.42$1,853.06
Los Angeles and Orange County$35.99$1,091.45$1,955.21
Madera$34.11$1,034.42$1,853.06
Marin$40.08$1,215.50$2,177.42
Merced$34.11$1,034.42$1,853.06
Modesto$34.11$1,034.42$1,853.06
Napa$38.20$1,158.47$2,075.27
Redding$34.11$1,034.42$1,853.06
Riverside / San Bernardino$34.54$1,047.43$1,876.39
Sacramento$35.46$1,075.44$1,926.48
Salinas$35.30$1,070.44$1,917.64
San Benito County$40.91$1,240.51$2,222.35
San Diego$35.86$1,087.45$1,948.09
San Francisco Bay Area (San Francisco, Oakland, San Mateo)$40.05$1,214.50$2,175.70
San Luis Obispo$34.77$1,054.43$1,888.91
Santa Clara County (San Jose)$40.74$1,235.51$2,213.27
Santa Cruz$35.99$1,091.45$1,955.21
Santa Maria / Santa Barbara$35.37$1,072.44$1,921.32
Santa Rosa$36.35$1,102.45$1,974.85
Stockton$34.11$1,034.42$1,853.06
Vallejo$38.17$1,157.47$2,073.55
Ventura$35.73$1,083.44$1,940.96
Visalia$34.11$1,034.42$1,853.06
Yuba City$34.11$1,034.42$1,853.06
Rest of California$34.11$1,034.42$1,853.06
Colorado 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Colorado$33.88$1,027.42$1,840.54
Hawaii 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Hawaii$34.51$1,046.43$1,874.67
Idaho 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Idaho$31.08$942.39$1,688.31
Illinois 4 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Chicago (Cook County)$34.90$1,058.43$1,896.03
East St. Louis area$33.12$1,004.41$1,799.29
Suburban Chicago$34.54$1,047.43$1,876.39
Rest of Illinois$32.43$983.40$1,761.72
Iowa 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Iowa$30.88$936.38$1,677.50
Kansas 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Kansas$30.88$936.38$1,677.50
Louisiana 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
New Orleans$32.26$978.40$1,752.64
Rest of Louisiana$31.18$945.39$1,693.71
Minnesota 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Minnesota$32.50$985.40$1,765.40
Missouri 3 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Kansas City$32.03$971.40$1,740.12
St. Louis$32.26$978.40$1,752.64
Rest of Missouri$30.85$935.38$1,675.78
Montana 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Montana$32.99$1,000.41$1,792.17
Nebraska 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Nebraska$30.98$939.38$1,682.90
Nevada 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Nevada$32.79$994.41$1,781.37
New Mexico 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
New Mexico$32.00$970.40$1,738.40
North Dakota 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
North Dakota$32.20$976.40$1,749.20
Oklahoma 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Oklahoma$31.08$942.39$1,688.31
Oregon 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Portland$34.61$1,049.43$1,880.07
Rest of Oregon$32.53$986.40$1,767.12
South Dakota 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
South Dakota$32.10$973.40$1,743.80
Texas 8 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Austin$33.75$1,023.42$1,833.42
Beaumont$31.54$956.39$1,713.35
Brazoria$32.69$991.41$1,775.97
Dallas$32.89$997.41$1,786.77
Fort Worth$32.76$993.41$1,779.65
Galveston$32.79$994.41$1,781.37
Houston$33.52$1,016.42$1,820.90
Rest of Texas$32.10$973.40$1,743.80
Utah 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Utah$31.93$968.40$1,734.72
Washington 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Seattle (King County)$37.01$1,122.46$2,010.70
Rest of Washington$33.68$1,021.42$1,829.74
Wisconsin 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Wisconsin$31.44$953.39$1,707.95
Wyoming 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Wyoming$32.66$990.41$1,774.25

TRICARE East · certified by Humana Military · 25 states and DC

Alabama 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Alabama$30.52$925.38$1,657.86
Connecticut 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Connecticut$34.77$1,054.43$1,888.91
Delaware 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Delaware$32.76$993.41$1,779.65
District of Columbia 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Washington, DC and its Maryland and Virginia suburbs$36.75$1,114.46$1,996.46
Florida 3 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Fort Lauderdale / Fort Myers$34.28$1,039.43$1,862.15
Miami$35.66$1,081.44$1,937.28
Rest of Florida$32.99$1,000.41$1,792.17
Georgia 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Atlanta$33.55$1,017.42$1,822.62
Rest of Georgia$31.60$958.39$1,716.79
Indiana 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Indiana$31.21$946.39$1,695.43
Kentucky 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Kentucky$31.18$945.39$1,693.71
Maine 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Southern Maine$32.36$981.40$1,758.04
Rest of Maine$31.27$948.39$1,698.87
Maryland 3 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Baltimore area$34.67$1,051.43$1,883.51
Washington, DC and its Maryland and Virginia suburbs$36.75$1,114.46$1,996.46
Rest of Maryland$33.22$1,007.41$1,804.69
Massachusetts 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Boston$36.49$1,106.45$1,982.21
Rest of Massachusetts$33.78$1,024.42$1,835.14
Michigan 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Detroit / Ann Arbor$33.39$1,012.41$1,813.77
Rest of Michigan$31.84$965.40$1,729.56
Mississippi 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Mississippi$30.52$925.38$1,657.86
New Hampshire 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
New Hampshire$33.45$1,014.42$1,817.22
New Jersey 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Northern New Jersey$36.55$1,108.45$1,985.65
Rest of New Jersey$35.17$1,066.44$1,910.52
New York 5 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Manhattan$37.28$1,130.46$2,025.18
NYC suburbs / Long Island$38.07$1,154.47$2,068.15
Poughkeepsie / northern NYC suburbs$35.46$1,075.44$1,926.48
Queens$37.41$1,134.46$2,032.30
Rest of New York$31.84$965.40$1,729.56
North Carolina 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
North Carolina$31.47$954.39$1,709.67
Ohio 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Ohio$31.67$960.39$1,720.47
Pennsylvania 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Philadelphia$34.18$1,036.42$1,856.74
Rest of Pennsylvania$31.67$960.39$1,720.47
Rhode Island 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Rhode Island$33.65$1,020.42$1,828.02
South Carolina 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
South Carolina$31.64$959.39$1,718.75
Tennessee 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Tennessee$30.98$939.38$1,682.90
Vermont 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
Vermont$32.17$975.40$1,747.48
Virginia 2 rate areas
Rate areaVisit, 15 minBirthMost per pregnancy
Virginia$32.33$980.40$1,756.32
Washington, DC and its Maryland and Virginia suburbs$36.75$1,114.46$1,996.46
West Virginia 1 rate area
Rate areaVisit, 15 minBirthMost per pregnancy
West Virginia$31.57$957.39$1,715.07

Rates: Defense Health Agency, “Locality-Adjusted Rates for TRICARE Doula Services, March 1, 2026 to February 28, 2027.” ZIP codes: CMS ZIP code to carrier locality file, October 2026. Shown for reference; DHA’s file is the authority. Puerto Rico, the Virgin Islands and Guam are under TRICARE Overseas and aren’t listed.

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