V5221 Medicaid reimbursement rate by state (2026)
Hearing aid, contralateral routing system, binaural, bte/bte. Medicaid pays a median of $992.96 for V5221 across 23 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
- 23
- National median
- $992.96units vary by state
- Lowest
- $32.53Wisconsin
- Highest
- $2,158.00Georgia
What does Medicaid pay for V5221?
23 state Medicaid programs publish a fee-for-service rate for V5221 at the physician psychologist level. The national median is $992.96 (units differ between states). Georgia pays the most, $2,158.00, and Wisconsin the least, $32.53, a 66.3x spread.
V5221 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5221?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $992.96. Georgia pays the most ($2,158.00) and Wisconsin the least ($32.53).
Which state pays the highest Medicaid rate for V5221?
Georgia, at $2,158.00, effective 2019-10-01.
Do managed-care plans pay the same rate for V5221?
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.