Swallowing and feeding therapy: Medicaid rates by state
37 states publish a Medicaid rate for swallowing and feeding therapy, compared at the therapist slp level. Rates range from $33.00 in Alabama to $129.34 in Texas.
- States
- 37
- Median
- —
- Highest
- $129.34Texas
- Lowest
- $33.00Alabama
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | TexasSpeech-language pathologist | $129.34 | — | — | 2017-09-01 | Official source |
| 2 | New MexicoSpeech-language pathologist | $119.72 | — | — | 2025-01-01 | Official source |
| 3 | ArizonaSpeech-language pathologist | $87.77 | — | — | 2021-10-01 | Official source |
| 4 | MarylandSpeech-language pathologist | $80.85 | — | — | 2026-01-01 | Official source |
| 5 | IndianaSpeech-language pathologist | $79.30 | unit | — | 2026-01-01 | Official source |
| 6 | OklahomaSpeech-language pathologist | $74.82 | — | — | 2026-07-01 | Official source |
| 7 | VirginiaSpeech-language pathologist | $72.92 | — | — | 2026-07-01 | Official source |
| 8 | MontanaSpeech-language pathologist | $72.45 | — | — | 2026-07-01 | Official source |
| 9 | ConnecticutSpeech-language pathologist | $71.96 | — | — | 2026-01-01 | Official source |
| 10 | ColoradoSpeech-language pathologist | $70.82 | — | — | 2026-07-01 | Official source |
| 11 | KansasSpeech-language pathologist | $70.82 | — | — | 2024-08-01 | Official source |
| 12 | MississippiSpeech-language pathologist | $70.79 | — | — | 2026-07-01 | Official source |
| 13 | IdahoSpeech-language pathologist | $69.87 | — | — | 2026-07-01 | Official source |
| 14 | NevadaSpeech-language pathologist | $69.40 | — | — | 2017-01-01 | Official source |
| 15 | OregonSpeech-language pathologist | $68.17 | — | — | 2026-02-01 | Official source |
| 16 | LouisianaSpeech-language pathologist | $67.92 | — | — | 2025-07-01 | Official source |
| 17 | MichiganSpeech-language pathologist | $66.02 | — | — | 2026-01-01 | Official source |
| 18 | WisconsinSpeech-language pathologist | $65.44 | — | — | 2022-01-01 | Official source |
| 19 | MinnesotaSpeech-language pathologist | $65.35 | — | — | 2026-02-01 | Official source |
| 20 | MassachusettsSpeech-language pathologist | $64.41 | — | — | 2026-10-01 | Official source |
| 21 | MissouriSpeech-language pathologist | $64.31 | — | — | 2022-07-01 | Official source |
| 22 | North CarolinaSpeech-language pathologist | $62.42 | — | — | 2025-10-01 | Official source |
| 23 | South CarolinaSpeech-language pathologist | $58.68 | — | — | 2011-07-11 | Official source |
| 24 | MaineSpeech-language pathologist | $58.59 | — | — | 2026-01-01 | Official source |
| 25 | FloridaSpeech-language pathologist | $58.11 | — | — | 2026-01-01 | Official source |
| 26 | West VirginiaSpeech-language pathologist | $57.10 | — | — | 2026-04-01 | Official source |
| 27 | OhioSpeech-language pathologist | $55.16 | — | — | 2024-01-01 | Official source |
| 28 | WashingtonSpeech-language pathologist | $51.02 | — | — | 2026-07-01 | Official source |
| 29 | KentuckySpeech-language pathologist | $50.87 | visit | — | 2026-01-01 | Official source |
| 30 | GeorgiaSpeech-language pathologist | $47.83 | — | — | 2024-04-01 | Official source |
| 31 | PennsylvaniaSpeech-language pathologist | $47.74 | — | — | 2011-01-03 | Official source |
| 32 | IowaSpeech-language pathologist | $44.41 | — | — | 2024-07-01 | Official source |
| 33 | ArkansasPhysician or licensed psychologist (incl. BCBA-D) | $38.58 | — | — | 2025-06-13 | Official source |
| 34 | NebraskaSpeech-language pathologist | $36.43 | — | — | 2026-07-01 | Official source |
| 35 | New JerseySpeech-language pathologist | $36.17 | — | — | 2026-07-01 | Official source |
| 36 | CaliforniaSpeech-language pathologist | $33.82 | — | — | 2026-10-01 | Official source |
| 37 | AlabamaSpeech-language pathologist | $33.00 | — | — | 2026-08-25 | Official source |
Frequently asked questions
Which state pays the most for swallowing and feeding therapy?
Texas: $129.34.
What is the average Medicaid rate for swallowing and feeding therapy?
Across 37 states the median is —, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Speech-language therapy40 statesPhysical therapy40 statesOccupational therapy40 statesOccupational therapy evaluation39 statesPhysical therapy evaluation39 statesSwallowing and feeding evaluation39 statesSpeech-language evaluation38 statesNutrition counseling (dietitian)37 statesSpeech-generating device therapy33 states
Swallowing and feeding therapy in your statesRates, plan rules, labor costs and changes, with alerts.