MedicaidRateStart free trial

92553 Medicaid reimbursement rates by state

Hearing tests and audiology services. 25 state Medicaid programs publish a fee-for-service rate for 92553 at the physician psychologist level. Rates run from $14.00 in Pennsylvania to $50.28 in Arizona, with a median of $29.70.

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

States publishing
25
Median rate
$29.70units vary by state
Highest
$50.28Arizona
Medicare (non-facility)
$42.36–$70.502026 physician fee schedule

92553 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$50.28since 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)$43.10since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$38.59since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$36.93since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$36.86since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 2 (Me
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$34.43since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid school-based services billed by local education agencies$31.52since 2024-02-01——Not classified—DMAS LEA Service Codes, Units and Maximu
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$31.50since 2026-01-01——Plans negotiate; applies out of network—Hearing Services Fee Schedule (AHCA Upda
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$31.31since 2026-01-01——Plans negotiate; applies out of network—MDHHS Hearing Services Fee Schedule data
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$30.96since 2026-07-01——Plans negotiate; applies out of network—HCA Neurodevelopmental centers fee sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$30.38since 2022-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Radiology - T
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$30.25since 2026-01-01——Not classified—Maryland Medicaid Professional Services
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$29.70since 2021-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$28.18since 2022-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Hearing
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$28.17since 2024-04-01——Plans negotiate; applies out of network—HFS Audiology Fee Schedule (effective 20
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$26.26since 2025-12-01——Plans negotiate; applies out of network—Rates for Hearing Services (effective De
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$22.95since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$22.85since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$22.26since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$21.65since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$21.57since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Independent Di
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$20.49since 2024-07-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$20.18since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$18.60since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$14.00since 2021-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

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 92553?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $29.70. Arizona pays the most ($50.28) and Pennsylvania the least ($14.00).

Which state pays the highest Medicaid rate for 92553?

Arizona, at $50.28, effective 2026-10-01.

Do managed-care plans pay the same rate for 92553?

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 Vision & hearing codes

92060Eye exams and vision services · 25 states92083Eye exams and vision services · 25 states92134Eye exams and vision services · 25 states92235Eye exams and vision services · 25 states92242Eye exams and vision services · 25 states92265Eye exams and vision services · 25 states92270Eye exams and vision services · 25 states92550Hearing tests and audiology services · 25 states92552Hearing tests and audiology services · 25 states92555Hearing tests and audiology services · 25 states92651Hearing tests and audiology services · 25 states92652Hearing tests and audiology services · 25 states
Track 92553 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Start free trialPricing
Medicaid rates by state
ArizonaCaliforniaColoradoFloridaGeorgiaIllinoisIndianaKentuckyLouisianaMarylandMassachusettsMichiganMinnesotaMissouriNebraskaNew JerseyNew YorkNorth CarolinaOhioPennsylvaniaSouth CarolinaTennesseeTexasVirginiaWashingtonWisconsin