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92605 Medicaid reimbursement rates by state

Speech-generating device evaluation. 10 state Medicaid programs publish a fee-for-service rate for 92605 at the therapist slp level. Rates run from $14.84 in Illinois to $91.40 in Arizona, with a median of $69.03.

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

States publishing
10
Median rate
$69.03units vary by state
Highest
$91.40Arizona
Medicare (non-facility)
—not on the physician fee schedule

92605 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaSpeech-language pathologist · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$91.40since 2021-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$74.32since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$73.63since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$72.29since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$70.24since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$67.81since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$48.66since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$34.76since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
LouisianaSpeech-language pathologist · Louisiana Residential Options Waiver (ROW, OCDD/OIDD 1915(c) waiver)$21.00since 2025-11-1815 min$84.00Paid by the state, outside plans—Residential Options Waiver rate and proc
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$14.84since 2024-12-01——Plans negotiate; applies out of network—HFS Therapy Fee Schedule (effective 2024

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 92605?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $69.03. Arizona pays the most ($91.40) and Illinois the least ($14.84).

Which state pays the highest Medicaid rate for 92605?

Arizona, at $91.40, effective 2021-10-01.

Do managed-care plans pay the same rate for 92605?

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.

Related Therapy (PT/OT/speech) codes

Track 92605 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state