Speech-generating device therapy: Medicaid rates by state
41 states publish a Medicaid rate for speech-generating device therapy, compared at the therapist slp level. Rates range from $17.19 in Kansas to $154.86 in Alaska.
- States
- 41
- Median
- —
- Highest
- $154.86Alaska
- Lowest
- $17.19Kansas
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | AlaskaSpeech-language pathologist | $154.86 | — | — | 2026-07-01 | Official source |
| 2 | New MexicoSpeech-language pathologist | $145.55 | — | — | 2025-01-01 | Official source |
| 3 | HawaiiSpeech-language pathologist | $107.97 | — | — | 2026-06-01 | Official source |
| 4 | DelawareSpeech-language pathologist | $100.09 | — | — | 2026-01-01 | Official source |
| 5 | South DakotaSpeech-language pathologist | $98.74 | — | — | 2026-07-01 | Official source |
| 6 | OklahomaSpeech-language pathologist | $90.72 | — | — | 2026-07-01 | Official source |
| 7 | WyomingSpeech-language pathologist | $90.53 | — | — | 2026-07-01 | Official source |
| 8 | NevadaSpeech-language pathologist | $89.24 | — | — | 2017-01-01 | Official source |
| 9 | VirginiaSpeech-language pathologist | $88.83 | — | — | 2026-07-01 | Official source |
| 10 | MontanaSpeech-language pathologist | $88.26 | — | — | 2026-07-01 | Official source |
| 11 | UtahSpeech-language pathologist | $87.37 | — | — | 2025-07-01 | Official source |
| 12 | VermontSpeech-language pathologist | $86.70 | — | — | 2026-01-01 | Official source |
| 13 | ColoradoSpeech-language pathologist | $86.46 | — | — | 2026-07-01 | Official source |
| 14 | MarylandSpeech-language pathologist | $86.26 | — | — | 2026-01-01 | Official source |
| 15 | IdahoSpeech-language pathologist | $84.84 | — | — | 2026-07-01 | Official source |
| 16 | OregonSpeech-language pathologist | $83.12 | — | — | 2026-02-01 | Official source |
| 17 | WisconsinSpeech-language pathologist | $80.71 | — | — | 2022-01-01 | Official source |
| 18 | MichiganSpeech-language pathologist | $80.43 | — | — | 2026-01-01 | Official source |
| 19 | MinnesotaSpeech-language pathologist | $79.76 | — | — | 2026-02-01 | Official source |
| 20 | MassachusettsSpeech-language pathologist | $78.78 | — | — | 2026-10-01 | Official source |
| 21 | MissouriSpeech-language pathologist | $78.55 | — | — | 2022-07-01 | Official source |
| 22 | ArizonaSpeech-language pathologist | $73.26 | — | — | 2021-10-01 | Official source |
| 23 | MaineSpeech-language pathologist | $71.13 | — | — | 2026-01-01 | Official source |
| 24 | ConnecticutSpeech-language pathologist | $70.02 | — | — | 2026-01-01 | Official source |
| 25 | West VirginiaSpeech-language pathologist | $69.30 | — | — | 2026-04-01 | Official source |
| 26 | South CarolinaSpeech-language pathologist | $68.75 | — | — | 2024-07-01 | Official source |
| 27 | IllinoisSpeech-language pathologist | $66.42 | — | — | 2024-04-01 | Official source |
| 28 | WashingtonSpeech-language pathologist | $62.49 | — | — | 2026-07-01 | Official source |
| 29 | North CarolinaSpeech-language pathologist | $61.75 | — | — | 2025-10-01 | Official source |
| 30 | KentuckySpeech-language pathologist | $61.67 | visit | — | 2026-01-01 | Official source |
| 31 | GeorgiaSpeech-language pathologist | $52.97 | — | — | 2017-01-01 | Official source |
| 32 | CaliforniaSpeech-language pathologist | $51.95 | — | — | 2026-10-01 | Official source |
| 33 | IowaSpeech-language pathologist | $45.93 | — | — | 2024-07-01 | Official source |
| 34 | NebraskaSpeech-language pathologist | $45.51 | — | — | 2026-07-01 | Official source |
| 35 | New JerseySpeech-language pathologist | $44.16 | — | — | 2026-07-01 | Official source |
| 36 | OhioSpeech-language pathologist | $43.99 | — | — | 2024-01-01 | Official source |
| 37 | FloridaSpeech-language pathologist | $42.11 | — | — | 2026-01-01 | Official source |
| 38 | New HampshireSpeech-language pathologist | $39.93 | — | — | 2023-07-01 | Official source |
| 39 | Rhode IslandSpeech-language pathologist | $33.23 | — | — | 2003-01-01 | Official source |
| 40 | LouisianaSpeech-language pathologist | $31.87 | — | — | 2022-05-01 | Official source |
| 41 | KansasSpeech-language pathologist | $17.19 | — | — | 2009-12-18 | Official source |
Frequently asked questions
Which state pays the most for speech-generating device therapy?
Alaska: $154.86.
What is the average Medicaid rate for speech-generating device therapy?
Across 41 states the median is —, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Speech-language therapy49 statesPhysical therapy49 statesOccupational therapy49 statesOccupational therapy evaluation48 statesPhysical therapy evaluation48 statesSwallowing and feeding evaluation48 statesSpeech-language evaluation47 statesSwallowing and feeding therapy46 statesNutrition counseling (dietitian)43 states
Speech-generating device therapy in your statesRates, plan rules, labor costs and changes, with alerts.