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V5211 Medicaid reimbursement rate by state (2026)

Hearing aid, contralateral routing system, binaural, ite/ite. Medicaid pays a median of $900.00 for V5211 across 21 states, from $32.53 in Wisconsin to $2,158.00 in Georgia.

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

States publishing
21
National median
$900.00units vary by state
Lowest
$32.53Wisconsin
Highest
$2,158.00Georgia

What does Medicaid pay for V5211?

21 state Medicaid programs publish a fee-for-service rate for V5211 at the physician psychologist level. The national median is $900.00 (units differ between states). Georgia pays the most, $2,158.00, and Wisconsin the least, $32.53, a 66.3x spread.

V5211 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Georgia Source · since 2019-10-01$2,158.00——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$1,788.33——Plans negotiate; applies out of network—
3District of Columbia Source · since 2019-01-01$1,700.00——Not classified—
10Montana Source · since 2025-07-01$992.96——Not classified—
11Vermont Source · since 2023-03-01$900.00——Not classified—
12Pennsylvania Source · since 2019-08-19$857.27——Plans negotiate; applies out of network—
20Kansas Source · since 2019-01-01$65.00——Plans must pay at least this—
21Wisconsin Source · since 2022-01-01$32.53——Plans negotiate; applies out of network—
See all 21 states for V5211 — start free

13 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track V5211 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for V5211?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $900.00. Georgia pays the most ($2,158.00) and Wisconsin the least ($32.53).

Which state pays the highest Medicaid rate for V5211?

Georgia, at $2,158.00, effective 2019-10-01.

Do managed-care plans pay the same rate for V5211?

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 workspace shows the rule for each state, cited to the contract or statute.