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V5247 Medicaid reimbursement rate by state (2026)

Hearing aid, digitally programmable analog, monaural, bte. Medicaid pays a median of $464.17 for V5247 across 18 states, from $32.53 in Wisconsin to $1,325.50 in Georgia.

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

States publishing
18
National median
$464.17units vary by state
Lowest
$32.53Wisconsin
Highest
$1,325.50Georgia

What does Medicaid pay for V5247?

18 state Medicaid programs publish a fee-for-service rate for V5247. The national median is $464.17 (units differ between states). Georgia pays the most, $1,325.50, and Wisconsin the least, $32.53, a 40.7x spread.

V5247 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Georgia Source · since 2016-07-01$1,325.50——Plans negotiate; applies out of network—
2Colorado Source · since 2026-07-01$1,131.53——Not classified—
3District of Columbia Source · since 2008-03-01$1,000.00——Not classified—
9New Hampshire Source · since 2021-01-01$478.33——Plans negotiate; applies out of network—
10Michigan Source · since 2023-09-01$450.00——Plans negotiate; applies out of network—
11Vermont Source · since 2023-03-01$450.00——Not classified—
17Kansas Source · since 2006-03-01$65.00——Plans must pay at least this—
18Wisconsin Source · since 2022-01-01$32.53——Plans negotiate; applies out of network—
See all 18 states for V5247 — start free

10 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 V5247 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 V5247?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $464.17. Georgia pays the most ($1,325.50) and Wisconsin the least ($32.53).

Which state pays the highest Medicaid rate for V5247?

Georgia, at $1,325.50, effective 2016-07-01.

Do managed-care plans pay the same rate for V5247?

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.