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V5256 Medicaid reimbursement rate by state (2026)

Hearing aid, digital, monaural, ite. Medicaid pays a median of $587.50 for V5256 across 28 states, from $32.53 in Wisconsin to $1,600.00 in Mississippi.

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

States publishing
28
National median
$587.50units vary by state
Lowest
$32.53Wisconsin
Highest
$1,600.00Mississippi

What does Medicaid pay for V5256?

28 state Medicaid programs publish a fee-for-service rate for V5256. The national median is $587.50 (units differ between states). Mississippi pays the most, $1,600.00, and Wisconsin the least, $32.53, a 49.2x spread.

V5256 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 28 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Mississippi Source · since 2020-07-01$1,600.00——Plans must pay at least this—
2District of Columbia Source · since 2008-03-01$1,500.00——Not classified—
3Colorado Source · since 2026-07-01$1,470.98——Not classified—
14Utah Source · since 2017-01-01$600.00——Plans negotiate; applies out of network—
15Rhode Island Source · since 2009-01-01$575.00——Plans negotiate; applies out of network—
16Florida Source · since 2026-01-01$570.88——Plans negotiate; applies out of network—
27Kansas Source · since 2006-03-01$65.00——Plans must pay at least this—
28Wisconsin Source · since 2022-01-01$32.53——Plans negotiate; applies out of network—
See all 28 states for V5256 — start free

20 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 V5256 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 V5256?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $587.50. Mississippi pays the most ($1,600.00) and Wisconsin the least ($32.53).

Which state pays the highest Medicaid rate for V5256?

Mississippi, at $1,600.00, effective 2020-07-01.

Do managed-care plans pay the same rate for V5256?

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.