92526 Medicaid reimbursement rates by state
Swallowing and feeding therapy. 23 state Medicaid programs publish a fee-for-service rate for 92526 at the therapist slp level. Rates run from $29.93 in Kentucky to $3,510.00 in New Jersey, with a median of $64.41.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- Median rate
- $64.41units vary by state
- Highest
- $3,510.00New Jersey
- Medicare (non-facility)
- $78.77–$106.212026 physician fee schedule
92526 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $3,510.00⚠ over 3× mediansince 2025-12-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $129.34since 2017-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| ArizonaSpeech-language pathologist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $87.77since 2021-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH) | $80.85since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| IndianaSpeech-language pathologist · Indiana Medicaid (fee-for-service) | $79.30since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| LouisianaSpeech-language pathologist · Louisiana Community Choices Waiver (OAAS 1915(c) waiver for older adults and adults with disabilities) | $77.50since 2026-10-01 | per service | — | Paid by the state, outside plans | — | Community Choices Waiver services proced |
| VirginiaSpeech-language pathologist · Virginia Medicaid (fee-for-service, DMAS) | $72.92since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| ColoradoSpeech-language pathologist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $70.82since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $66.02since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Occupational Therapy Fee Schedule |
| WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $65.44since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $65.35since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MassachusettsSpeech-language pathologist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $64.41since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $64.31since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service) | $62.42since 2025-10-01 | — | — | Plans negotiate; applies out of network | — | NC Medicaid fee schedule 'Occupational T |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $60.32since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| South CarolinaSpeech-language pathologist · South Carolina Healthy Connections Medicaid (fee-for-service) | $58.68since 2011-07-11 | — | — | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| FloridaSpeech-language pathologist · Florida Medicaid (fee-for-service) | $58.11since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Speech-Language Pathology Services Fee S |
| OhioSpeech-language pathologist · Ohio Medicaid (fee-for-service) | $55.16since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| WashingtonSpeech-language pathologist · Washington Apple Health (Medicaid) fee-for-service | $51.02since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Habilitative services fee schedule ( |
| GeorgiaSpeech-language pathologist · Georgia New Options Waiver (NOW) for people with IDD | $47.83since 2024-04-01 | — | — | Paid by the state, outside plans | — | New Options Waiver Program 4.1.24 (archi |
| PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service) | $47.74since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| CaliforniaSpeech-language pathologist · California Medi-Cal (fee-for-service) | $33.82since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $29.93since 2026-01-01 | visit | — | Plans negotiate; applies out of network | 38% | KY Medicaid OT fee schedule (2026Occupat |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for 92526?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $64.41. New Jersey pays the most ($3,510.00) and Kentucky the least ($29.93 per visit).
Which state pays the highest Medicaid rate for 92526?
New Jersey, at $3,510.00, effective 2025-12-01.
How do Medicaid rates for 92526 compare with Medicare?
Where the billing units match, Medicaid pays between 38% and 38% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 92526?
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 table shows the rule for each state, cited to the contract or statute.