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V5248 Medicaid reimbursement rate by state (2026)

Hearing aid, analog, binaural, cic. Medicaid pays a median of $776.00 for V5248 across 10 states, from $32.53 in Wisconsin to $1,649.60 in New Hampshire.

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

States publishing
10
National median
$776.00units vary by state
Lowest
$32.53Wisconsin
Highest
$1,649.60New Hampshire

What does Medicaid pay for V5248?

10 state Medicaid programs publish a fee-for-service rate for V5248 at the physician psychologist level. The national median is $776.00 (units differ between states). New Hampshire pays the most, $1,649.60, and Wisconsin the least, $32.53, a 50.7x spread.

V5248 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2020-01-01$1,649.60——Plans negotiate; applies out of network—
2Montana Source · since 2025-07-01$1,060.45——Not classified—
3Michigan Source · since 2023-09-01$900.00——Plans negotiate; applies out of network—
5Pennsylvania Source · since 2005-12-12$800.00——Plans negotiate; applies out of network—
6Illinois Source · since 2019-07-24$752.00——Plans negotiate; applies out of network—
9Kansas Source · since 2002-04-01$65.00——Plans must pay at least this—
10Wisconsin Source · since 2022-01-01$32.53——Plans negotiate; applies out of network—
See all 10 states for V5248 — start free

3 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 V5248 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 V5248?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $776.00. New Hampshire pays the most ($1,649.60) and Wisconsin the least ($32.53).

Which state pays the highest Medicaid rate for V5248?

New Hampshire, at $1,649.60, effective 2020-01-01.

Do managed-care plans pay the same rate for V5248?

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.