92523 Medicaid reimbursement rates by state
Articulation and language evaluation. 39 state Medicaid programs publish a fee-for-service rate for 92523 at the therapist slp level. Rates run from $49.44 in Arkansas to $323.70 in New Mexico, with a median of $171.59.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 39
- Median rate
- $171.59units vary by state
- Highest
- $323.70New Mexico
- Medicare (non-facility)
- $212.50–$283.672026 physician fee schedule
92523 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 MexicoSpeech-language pathologist · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $323.70since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service CPT |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $245.39since 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) | $236.88since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $214.36since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| OklahomaSpeech-language pathologist · Oklahoma SoonerCare (fee-for-service, OHCA) | $202.16since 2026-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service) | $198.17since 2023-10-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Rehabilitation Services (PT/OT/SL |
| VirginiaSpeech-language pathologist · Virginia Medicaid (fee-for-service, DMAS) | $196.18since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| MontanaSpeech-language pathologist · Montana Medicaid and HMK Plus (fee-for-service) | $194.93since 2026-07-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| MississippiSpeech-language pathologist · Mississippi Medicaid (fee-for-service) | $191.49since 2026-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, Septembe |
| ColoradoSpeech-language pathologist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $190.79since 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) | $188.98since 2024-07-01 | — | — | Not classified | — | SCDHHS Speech Therapy Fee Schedule (sche |
| IdahoSpeech-language pathologist · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $188.75since 2026-07-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| OregonSpeech-language pathologist · Oregon Health Plan (fee-for-service, OHA) | $183.47since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| KansasSpeech-language pathologist · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $182.72since 2024-08-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $177.92since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $177.64since 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) | $176.25since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MassachusettsSpeech-language pathologist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $175.24since 2025-06-06 | — | — | Plans negotiate; applies out of network | — | Rates for Restorative Services (effectiv |
| IowaSpeech-language pathologist · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $173.35since 2014-01-01 | — | — | Paid by the state, outside plans | — | Iowa Medicaid fee schedule #40 AREA EDUC |
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $171.59since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $169.81since 2017-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| NevadaSpeech-language pathologist · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $168.00since 2020-01-01 | — | — | Paid by the state, outside plans | — | Provider Type 60 School Based (rate data |
| GeorgiaSpeech-language pathologist · Georgia Medicaid (fee-for-service) | $163.81since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| MaineSpeech-language pathologist · MaineCare (fee-for-service) | $158.19since 2026-01-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
| North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service) | $157.80since 2025-10-01 | — | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Children Devel |
| West VirginiaSpeech-language pathologist · West Virginia Medicaid School-Based Health Services (SBHS) | $154.21since 2026-04-01 | — | — | Paid by the state, outside plans | — | School Based Health Services (SBHS) - Di |
| MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH) | $153.97since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service) | $149.06since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| IllinoisSpeech-language pathologist · Illinois Medicaid (HFS fee-for-service) | $147.70since 2024-04-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| AlabamaSpeech-language pathologist · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $140.62since 2026-08-25 | — | — | Not classified | — | Physician Fee Schedule (REF-0129-Q) |
| KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $137.43since 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 | $137.02since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Habilitative services fee schedule ( |
| OhioSpeech-language pathologist · Ohio Medicaid School Program (school-based services) | $131.09since 2020-06-12 | — | — | Paid by the state, outside plans | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| CaliforniaSpeech-language pathologist · California Medi-Cal school-based services (Local Educational Agency) | $107.68since 2026-10-01 | — | — | Paid by the state, outside plans | — | Medi-Cal Rates (Rates files zip: rates_d |
| New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $97.15since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| 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 |
| ConnecticutSpeech-language pathologist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $70.00since 2014-01-01 | — | — | Not classified | — | CMAP fee schedule: Clinic - Rehabilitati |
| 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 |
| ArkansasSpeech-language pathologist · Arkansas Medicaid (fee-for-service) | $49.44since 2024-12-04 | 30 min | $98.88 | Not classified | — | Arkansas Medicaid Adult Developmental Da |
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 92523?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $171.59. New Mexico pays the most ($323.70) and Arkansas the least ($49.44 per 30 min).
Which state pays the highest Medicaid rate for 92523?
New Mexico, at $323.70, effective 2025-01-01.
How do Medicaid rates for 92523 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 92523?
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
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Track 92523 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.