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Billing code V5266 · Vision & hearing

V5266 Medicaid reimbursement rate by state (2026)

Battery for use in hearing device. Medicaid pays a median of $1.34 for V5266 across 40 states, from $0.50 in Washington to $30.02 in North Carolina.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$1.34units vary by state
Lowest
$0.50Washington
Highest
$30.02North Carolina
Answer

What does Medicaid pay for V5266?

40 state Medicaid programs publish a fee-for-service rate for V5266. The national median is $1.34 (units differ between states). North Carolina pays the most, $30.02, and Washington the least, $0.50, a 60.0x spread.

State ranking

V5266 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Carolina Source · since 2025-10-01$30.02——Plans negotiate; applies out of network—
2Maine Source · since 2026-01-01$21.42——Not classified—
3Indiana Source · since 2026-01-01$6.54unit—Plans must pay at least this—
20Michigan Source · since 2025-09-01$1.42——Plans negotiate; applies out of network—
21Nebraska Source · since 2026-07-01$1.25——Plans negotiate; applies out of network—
22Pennsylvania Source · since 2005-12-12$1.25——Plans negotiate; applies out of network—
39Oklahoma Source · since 2020-08-01$0.57——Plans must pay at least this—
40Washington Source · since 2021-07-01$0.50——Plans negotiate; applies out of network—
See all 40 states for V5266 — start free

32 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.

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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 V5266 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for V5266?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $1.34. North Carolina pays the most ($30.02) and Washington the least ($0.50).

Which state pays the highest Medicaid rate for V5266?

North Carolina, at $30.02, effective 2025-10-01.

Do managed-care plans pay the same rate for V5266?

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.