Compliance
NDIS Price Guide 2025–2026 Explained: How to Read It and Set Your Prices
The NDIS Pricing Arrangements and Price Limits document is over 100 pages of tables, rules, and exceptions. Most new providers find it impenetrable. This guide translates the Price Guide into plain English — explaining how the support catalogue is structured, what line items mean, how to apply loadings and travel rates, and how to set prices that are competitive without leaving money on the table.
What Is the NDIS Price Guide?
The NDIS Price Guide — officially called the NDIS Pricing Arrangements and Price Limits — is the document published by the National Disability Insurance Agency (NDIA) that sets the maximum prices registered NDIS providers can charge for supports delivered to NDIA-managed participants.
It is not a fee schedule in the traditional sense. It does not tell you what to charge — it tells you the maximum you are allowed to charge for each type of support. You can charge less. You cannot charge more (for NDIA-managed participants).
The Price Guide applies to:
- NDIA-managed participants — price limits are strictly enforced. Claims above the limit are rejected.
- Plan-managed participants — plan managers typically use the NDIS price limits as a guide, but technically the participant and provider can negotiate different rates.
- Self-managed participants — participants can pay any price they agree to, but can only claim up to the NDIS price limit from their plan funding.
Where to find the current Price Guide
The current NDIS Pricing Arrangements are published on the NDIS website at ndis.gov.au/providers/pricing-arrangements. The document is updated at least annually (typically 1 July) and sometimes mid-year. Bookmark this page and check it before setting or updating your prices.
Understanding the NDIS Support Catalogue
The NDIS organises all funded supports into a hierarchical catalogue structure. Understanding this structure is essential for correct invoicing and claiming.
The hierarchy
| Level | Description | Example |
|---|---|---|
| Support Category | Broad grouping of support types (numbered 1–15) | Category 1: Assistance with Daily Life |
| Support Category Number | Two-digit number identifying the category | 01 |
| Registration Group | Specific type of support within a category | 0115 — Daily Personal Activities |
| Support Item (Line Item) | Individual claimable service with a unique reference number | 01_011_0107_1_1 — Assistance with Self-Care Activities — Standard — Weekday Daytime |
Key support categories for SIL and personal care providers
| Category | Name | Common Line Items |
|---|---|---|
| 01 | Assistance with Daily Life | Personal care, SIL, household tasks, community nursing |
| 04 | Assistance with Social, Economic and Community Participation | Community access, group activities, social skills development |
| 07 | Support Coordination | Support coordination, specialist support coordination |
| 15 | Improved Daily Living | Allied health, therapy services, training for independence |
How to Read NDIS Line Items
Each support item in the NDIS Support Catalogue has a unique reference number and a set of attributes. Understanding these is critical for correct invoicing.
Anatomy of a line item reference number
Take the example: 01_011_0107_1_1
- 01 — Support category (Assistance with Daily Life)
- 011 — Outcome domain
- 0107 — Support item number
- 1 — Claim type (1 = time-based, 2 = each/unit, 3 = day)
- 1 — Version indicator
Key attributes of each line item
| Attribute | What It Means |
|---|---|
| Price limit | Maximum amount you can charge per unit (hourly rate, daily rate, or per item) |
| Unit | How the support is measured — hour (H), each (E), day (D), week (WK) |
| Quotable | Whether the support can be quoted (some supports require a quote rather than using the standard price limit) |
| Non-face-to-face | Whether non-face-to-face delivery (phone, report writing) is claimable |
| Provider travel | Whether provider travel can be claimed for this support |
| Short notice cancellation | Whether short notice cancellation charges apply |
| NDIA-managed | Whether the support can be claimed for NDIA-managed participants |
Time-of-day and day-of-week rates
Many support items have different price limits depending on when the support is delivered. This reflects the different employment costs (penalty rates) for different shifts.
| Time Period | Description | Typical Rate Difference |
|---|---|---|
| Weekday Daytime | Monday–Friday, 6am–8pm | Base rate |
| Weekday Evening | Monday–Friday, 8pm–12am | ~15% above base |
| Weekday Night | Monday–Friday, 12am–6am | ~25% above base |
| Saturday | All day Saturday | ~40% above base |
| Sunday | All day Sunday | ~80% above base |
| Public Holiday | Gazetted public holidays | ~125% above base |
SIL pricing uses a different model. Rather than hourly rates, SIL is typically priced as a daily or weekly rate per participant based on the support ratio (e.g., 1:3, 1:2, 1:1) and the time of day. SIL pricing is calculated using the NDIS SIL Calculator or quoted based on the participant's individual support needs. Ensure your service agreements reflect the agreed SIL pricing structure.
Price Limits vs Actual Charging
The NDIS price limits are ceilings, not floors. You have discretion to set your actual prices at or below these limits.
Strategic pricing considerations
- Charging at the price limit — most providers charge at or very close to the NDIS price limit. The limits are calculated to cover reasonable costs including wages, on-costs, overheads, and a margin. Charging significantly below the limit may not be sustainable.
- Charging below the price limit — can be a competitive strategy to attract participants, but be careful not to undercut yourself. Price is rarely the deciding factor for participants — quality, reliability, and compatibility matter more.
- Price variation by participant — you can charge different rates to different participants (within the price limit), though this should be documented and justifiable.
Many new providers set their prices well below the NDIS price limit, thinking this will attract more participants. In practice, it signals to support coordinators and plan managers that you may be cutting corners. Price at or near the NDIS limit and compete on quality, reliability, and responsiveness instead.
Prices must be in your service agreement
Under the NDIS Practice Standards, your service agreement with each participant must include the price of each support to be delivered, how it is calculated, and when and how prices may change. This is not optional — auditors check service agreements as part of every audit. See our NDIS Service Agreement Guide for templates and guidance.
TTP, Regional, and Other Loadings
The NDIS price limits include or allow for several loadings — additional amounts that increase the effective price limit in certain circumstances.
Temporary Transformation Payment (TTP)
The TTP was introduced to help providers cover the costs of transitioning to the NDIS market (training, systems, quality improvements). For most support categories, the TTP is now embedded in the price limits rather than being a separate line item. The TTP percentage has been gradually reducing and is expected to phase out entirely. Check the current Pricing Arrangements for applicable TTP rates.
Regional, remote, and very remote loading
Providers delivering supports in regional, remote, or very remote areas can apply additional loadings to reflect the higher costs of service delivery in those areas.
| Classification | Loading | Determined By |
|---|---|---|
| Major cities | No loading (base rate) | Modified Monash Model (MMM) 1 |
| Inner regional | No loading | MMM 2 |
| Outer regional | No loading | MMM 3 |
| Remote | Up to 40% | MMM 6 |
| Very remote | Up to 50% | MMM 7 |
To determine your area's MMM classification, use the Australian Government's Modified Monash Model lookup tool.
Travel and Transport Claiming Rules
Travel claiming is one of the most misunderstood aspects of NDIS pricing. The rules are specific and apply differently depending on the support type.
Provider travel (getting to and from the participant)
For most support types where provider travel is claimable:
- Time — up to 30 minutes of travel time per trip, claimed at the relevant support item hourly rate (not a separate travel rate)
- Kilometres — up to $0.99 per kilometre for up to 150km per return trip
- Documentation — travel claims must be agreed in the service agreement and documented with times and distances
Travel rules and restrictions
- Travel cannot be claimed between participants at the same location (e.g., in a SIL house)
- Travel time is claimed against the participant's plan — it reduces available funding for other supports
- The travel must be directly related to delivering the agreed support
- Multiple workers travelling together can only claim travel once (not once per worker)
Participant transport (transporting the participant)
Transporting participants during community access or activities is different from provider travel. Participant transport is claimed under specific transport line items and the rules vary by support category. Check the relevant section of the Pricing Arrangements for your support type.
Cancellation and No-Show Rates
The NDIS allows providers to charge for short notice cancellations — when a participant cancels with less than the required notice period. This is a critical revenue protection for providers.
Short notice cancellation rules
- Short notice = less than 2 clear business days before the scheduled support
- Providers can charge up to 90% of the agreed price for a short notice cancellation
- For no-shows (participant does not attend and does not notify), the same 90% charge applies
- The cancellation policy must be documented in the service agreement
- Providers must make reasonable efforts to find alternative work for the affected worker before claiming
For a detailed guide to cancellation policies, read our NDIS Provider Cancellation Policy Guide.
When you claim a cancellation charge, you must document: the scheduled service, the time the cancellation was received, whether it was within the short notice period, any attempts to find alternative work for the worker, and the amount charged. Auditors review cancellation claims as part of financial management assessments.
Non-Face-to-Face and Reporting Claims
Not all NDIS-funded work is delivered face-to-face with the participant. Many support items allow claims for non-face-to-face activities — work that supports the participant but does not involve direct contact.
Common non-face-to-face activities
- Progress notes and reporting — writing shift notes, progress reports, and handover documentation
- Support plan development — preparing and updating participant support plans
- Team meetings — attending multidisciplinary team meetings about a participant
- Phone calls and coordination — liaising with families, support coordinators, or other providers about the participant's supports
- Report writing — preparing reports for plan reviews, allied health assessments, or other purposes
Rules for non-face-to-face claiming
- Not all line items allow non-face-to-face claims — check the support item attributes in the Support Catalogue
- Non-face-to-face time is claimed at the same hourly rate as face-to-face time (no separate rate)
- The time must be directly related to the participant's supports
- Must be agreed in the service agreement
- Must be documented — what was done, for which participant, and how long it took
Writing NDIS-compliant progress notes is a daily task for every support worker. Our free NDIS Notes Rewriter helps ensure your shift notes meet NDIS documentation standards — saving time and reducing compliance risk.
Important: This article provides general guidance about the NDIS Pricing Arrangements. It is not financial or professional advice. Price limits, loadings, and claiming rules change regularly. Always verify current pricing on the NDIS website before setting prices or submitting claims. Incorrect claiming can result in debt recovery and compliance action by the NDIS Commission.
Frequently asked questions
Do I have to charge the NDIS price limit or can I charge less?
The NDIS Price Guide sets maximum price limits, not fixed prices. You can charge any amount up to the price limit for NDIA-managed participants. You cannot charge more than the price limit for NDIA-managed participants. For plan-managed and self-managed participants, you can negotiate prices above or below the price limit, though plan managers often use the price limit as a benchmark.
What is the Temporary Transformation Payment (TTP)?
The Temporary Transformation Payment (TTP) is a loading added to certain NDIS price limits to help providers cover the costs of transitioning to the NDIS market. For most support categories, TTP is embedded in the price limits. The TTP percentage has been gradually reducing and is expected to phase out entirely. Check the current NDIS Pricing Arrangements for the applicable TTP rates.
Can I charge for travel time under the NDIS?
Yes, providers can claim travel costs in certain circumstances. For most support types, you can claim up to 30 minutes of travel time (at the relevant hourly rate) per trip to deliver the support, plus a per-kilometre rate of $0.99/km for up to 150km per return trip. Travel cannot be claimed between participants in the same location. Travel claims must be documented and agreed in the service agreement.
What happens if I charge more than the NDIS price limit?
For NDIA-managed participants, claims above the price limit will be rejected by the NDIS payment system. For plan-managed participants, the plan manager may reject the invoice or negotiate. For self-managed participants, you can agree on any price, but the participant can only claim up to the NDIS price limit from their plan. Consistently overcharging is a compliance risk that can trigger NDIS Commission scrutiny.
How often does the NDIS Price Guide change?
The NDIS Pricing Arrangements and Price Limits are typically updated annually, usually effective 1 July each year. However, the NDIA can make changes at other times. Major reviews have occurred in response to industry feedback and the Annual Pricing Review process. Providers should check the NDIS website regularly for updates and subscribe to the NDIA's provider newsletter for advance notice of changes.
Keep reading
- NDIS Acronyms Explained: The Complete Guide for New Providers
- NDIS Funding Categories Explained: Core Supports, Capacity Building & Capital (2026 Guide)
- NDIS Practice Standard: Supported Independent Living explained (2026)
- NDIS Practice Standard: Governance and Operational Management explained (2026)
- NDIS Practice Standard: High Intensity Daily Personal Activities explained (2026)
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