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V5215 Medicaid reimbursement rate by state (2026)

Hearing aid, contralateral routing system, binaural, itc/bte. Medicaid pays a median of $992.96 for V5215 across 19 states, from $65.00 in Kansas to $2,158.00 in Georgia.

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

States publishing
19
National median
$992.96units vary by state
Lowest
$65.00Kansas
Highest
$2,158.00Georgia

What does Medicaid pay for V5215?

19 state Medicaid programs publish a fee-for-service rate for V5215 at the physician psychologist level. The national median is $992.96 (units differ between states). Georgia pays the most, $2,158.00, and Kansas the least, $65.00, a 33.2x spread.

V5215 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 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—
9Louisiana Source · since 2019-01-01$1,107.46——Plans must pay at least this—
10Montana Source · since 2025-07-01$992.96——Not classified—
11Michigan Source · since 2023-09-01$900.00——Plans negotiate; applies out of network—
18Missouri Source · since 2019-07-01$396.64——Plans negotiate; applies out of network—
19Kansas Source · since 2019-01-01$65.00——Plans must pay at least this—
See all 19 states for V5215 — start free

11 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 V5215 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 V5215?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $992.96. Georgia pays the most ($2,158.00) and Kansas the least ($65.00).

Which state pays the highest Medicaid rate for V5215?

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

Do managed-care plans pay the same rate for V5215?

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.