V5251 Medicaid reimbursement rate by state (2026)
Hearing aid, digitally programmable analog, binaural, itc. Medicaid pays a median of $1,095.12 for V5251 across 14 states, from $32.53 in Wisconsin to $2,000.00 in District of Columbia.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 14
- National median
- $1,095.12units vary by state
- Lowest
- $32.53Wisconsin
- Highest
- $2,000.00District of Columbia
What does Medicaid pay for V5251?
14 state Medicaid programs publish a fee-for-service rate for V5251. The national median is $1,095.12 (units differ between states). District of Columbia pays the most, $2,000.00, and Wisconsin the least, $32.53, a 61.5x spread.
V5251 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5251?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $1,095.12. District of Columbia pays the most ($2,000.00) and Wisconsin the least ($32.53).
Which state pays the highest Medicaid rate for V5251?
District of Columbia, at $2,000.00, effective 2008-03-01.
Do managed-care plans pay the same rate for V5251?
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.