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92526 Medicaid reimbursement rates by state

Swallowing and feeding therapy. 37 state Medicaid programs publish a fee-for-service rate for 92526 at the therapist slp level. Rates run from $33.00 in Alabama to $129.34 in Texas, with a median of $65.35.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
37
Median rate
$65.35units vary by state
Highest
$129.34Texas
Medicare (non-facility)
$78.50–$106.212026 physician fee schedule

92526 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$129.34since 2017-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
New MexicoSpeech-language pathologist · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$119.72since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaSpeech-language pathologist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$87.77since 2021-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH)$80.85since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaSpeech-language pathologist · Indiana Medicaid (fee-for-service)$79.30since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OklahomaSpeech-language pathologist · Oklahoma SoonerCare (fee-for-service, OHCA)$74.82since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
VirginiaSpeech-language pathologist · Virginia Medicaid (fee-for-service, DMAS)$72.92since 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)$72.45since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
ConnecticutSpeech-language pathologist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$71.96since 2026-01-01——Not classified—CMAP fee schedule: Independent Audiology
ColoradoSpeech-language pathologist · Child Health Plan Plus (CHP+, Colorado's CHIP)$70.82since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KansasSpeech-language pathologist · MediKan (Kansas state-funded medical program, KMAP fee schedule)$70.82since 2024-08-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MississippiSpeech-language pathologist · Mississippi Medicaid (fee-for-service)$70.79since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IdahoSpeech-language pathologist · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$69.87since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
NevadaSpeech-language pathologist · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$69.40since 2017-01-01——Plans must pay at least this—Provider Type 34, Therapy Reimbursement
OregonSpeech-language pathologist · Oregon Health Plan (fee-for-service, OHA)$68.17since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
LouisianaSpeech-language pathologist · Louisiana Medicaid (fee-for-service)$67.92since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service)$66.02since 2026-01-01——Plans negotiate; applies out of network—MDHHS Occupational Therapy Fee Schedule
WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$65.44since 2022-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Therapy-
MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$65.35since 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)$64.41since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service)$64.31since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service)$62.42since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Occupational T
South CarolinaSpeech-language pathologist · South Carolina Healthy Connections Medicaid (fee-for-service)$58.68since 2011-07-11——Not classified—SCDHHS Base Physician Fee Schedule (sche
MaineSpeech-language pathologist · MaineCare (fee-for-service)$58.59since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
FloridaSpeech-language pathologist · Florida Medicaid (fee-for-service)$58.11since 2026-01-01——Plans negotiate; applies out of network—Speech-Language Pathology Services Fee S
West VirginiaSpeech-language pathologist · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$57.10since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
OhioSpeech-language pathologist · Ohio Medicaid (fee-for-service)$55.16since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
WashingtonSpeech-language pathologist · Washington Apple Health (Medicaid) fee-for-service$51.02since 2026-07-01——Plans negotiate; applies out of network—HCA Habilitative services fee schedule (
KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules)$50.87since 2026-01-01visit—Plans negotiate; applies out of network64%KY Medicaid OT fee schedule (2026Occupat
GeorgiaSpeech-language pathologist · Georgia New Options Waiver (NOW) for people with IDD$47.83since 2024-04-01——Paid by the state, outside plans—New Options Waiver Program 4.1.24 (archi
PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service)$47.74since 2021-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IowaSpeech-language pathologist · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$44.41since 2024-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #38 CERTIFIED
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$38.58since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service)$36.43since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$36.17since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
CaliforniaSpeech-language pathologist · California Medi-Cal (fee-for-service)$33.82since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
AlabamaSpeech-language pathologist · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$33.00since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)

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 92526?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $65.35. Texas pays the most ($129.34) and Alabama the least ($33.00).

Which state pays the highest Medicaid rate for 92526?

Texas, at $129.34, effective 2017-09-01.

How do Medicaid rates for 92526 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 92526?

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) · 39 states92521Stuttering evaluation · 39 states92522Articulation evaluation · 39 states92523Articulation and language evaluation · 39 states92524Voice evaluation · 39 states92610Swallowing assessment · 39 states97110Exercise therapy for strength and range of motion · 38 states97163Physical therapy evaluation, level 3 of 3 · 38 states97167Occupational therapy evaluation, level 3 of 3 · 38 states97530Functional activity training · 38 states97161Physical therapy evaluation, level 1 of 3 · 37 states97162Physical therapy evaluation, level 2 of 3 · 37 states
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Medicaid rates by state
AlabamaArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaSouth CarolinaTennesseeTexasVirginiaWashingtonWest VirginiaWisconsin