92522 Medicaid reimbursement rates by state
Articulation evaluation. 25 state Medicaid programs publish a fee-for-service rate for 92522 at the therapist slp level. Rates run from $53.84 in California to $3,510.00 in New Jersey, with a median of $86.18.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 25
- Median rate
- $86.18units vary by state
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- $105.45–$138.852026 physician fee schedule
92522 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3,510.00⚠ over 3× mediansince 2025-12-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $127.36since 2017-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $120.87since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| ArizonaSpeech-language pathologist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $116.85since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| VirginiaSpeech-language pathologist · Virginia Medicaid school-based services billed by local education agencies | $115.32since 2024-02-01 | Per assessment/ evaluation | — | Not classified | — | DMAS LEA Service Codes, Units and Maximu |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $104.20since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $97.85since 2023-10-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Rehabilitation Services (PT/OT/SL |
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $95.58since 2022-07-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: First Steps |
| ColoradoSpeech-language pathologist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $92.64since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| South CarolinaSpeech-language pathologist · South Carolina Healthy Connections Medicaid (fee-for-service) | $92.28since 2024-07-01 | — | — | Not classified | — | SCDHHS Speech Therapy Fee Schedule (sche |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $87.77since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Speech Therapy Fee Schedule databa |
| MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $86.45since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $86.18since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| MassachusettsSpeech-language pathologist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $85.32since 2025-06-06 | — | — | Plans negotiate; applies out of network | — | Rates for Restorative Services (effectiv |
| GeorgiaSpeech-language pathologist · Georgia Medicaid (fee-for-service) | $78.86since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| LouisianaSpeech-language pathologist · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $77.50since 2026-10-01 | per service | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service) | $76.07since 2025-10-01 | — | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Children Devel |
| MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH) | $74.00since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| IllinoisSpeech-language pathologist · Illinois Medicaid (HFS fee-for-service) | $72.44since 2024-04-01 | — | — | Plans negotiate; applies out of network | — | HFS Audiology Fee Schedule (effective 20 |
| PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service) | $71.87since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $67.98since 2026-01-01 | visit | — | Plans negotiate; applies out of network | 64% | KY Medicaid ST fee schedule (2026SpeechT |
| WashingtonSpeech-language pathologist · Washington Apple Health (Medicaid) fee-for-service | $67.46since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Habilitative services fee schedule ( |
| OhioSpeech-language pathologist · Ohio Medicaid School Program (school-based services) | $63.20since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| FloridaSpeech-language pathologist · Florida iBudget waiver for people with developmental disabilities (APD) | $54.38since 2026-07-01 | unit | — | Paid by the state, outside plans | — | Florida Medicaid Developmental Disabilit |
| CaliforniaSpeech-language pathologist · California Medi-Cal school-based services (Local Educational Agency) | $53.84since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 92522?
It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $86.18. New Jersey pays the most ($3,510.00) and California the least ($53.84).
Which state pays the highest Medicaid rate for 92522?
New Jersey, at $3,510.00, effective 2025-12-01.
How do Medicaid rates for 92522 compare with Medicare?
Where the billing units match, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 92522?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.
Related Therapy (PT/OT/speech) codes
92507Speech therapy session (one person) · 25 states92521Stuttering evaluation · 25 states92523Articulation and language evaluation · 25 states92524Voice evaluation · 25 states92610Swallowing assessment · 25 states97530Functional activity training · 25 states97110Exercise therapy for strength and range of motion · 24 states97112Balance and coordination retraining · 24 states97163Physical therapy evaluation, level 3 of 3 · 24 states97167Occupational therapy evaluation, level 3 of 3 · 24 states92526Swallowing and feeding therapy · 23 states97113Other therapy services · 23 states
Track 92522 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.