92609 Medicaid reimbursement rates by state
Therapy using a communication device. 30 state Medicaid programs publish a fee-for-service rate for 92609 at the therapist slp level. Rates run from $17.19 in Kansas to $347.77 in Arizona, with a median of $74.29.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 30
- Median rate
- $74.29units vary by state
- Highest
- $347.77Arizona
- Medicare (non-facility)
- $95.34–$130.932026 physician fee schedule
92609 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 |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $347.77⚠ over 3× mediansince 2025-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| New MexicoSpeech-language pathologist · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $145.55since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service CPT |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $96.27since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $91.73since 2023-10-01 | unit | — | Plans negotiate; applies out of network | — | eMedNY Physician Fee Schedule Sect 2 (Me |
| OklahomaSpeech-language pathologist · Oklahoma SoonerCare (fee-for-service, OHCA) | $90.72since 2026-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| NevadaSpeech-language pathologist · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $89.24since 2017-01-01 | — | — | Plans must pay at least this | — | Provider Type 34, Therapy Reimbursement |
| VirginiaSpeech-language pathologist · Virginia Medicaid (fee-for-service, DMAS) | $88.83since 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) | $86.46since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH) | $86.26since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| OregonSpeech-language pathologist · Oregon Health Plan (fee-for-service, OHA) | $83.12since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $80.71since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $80.43since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Speech Therapy Fee Schedule databa |
| MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $79.76since 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) | $78.78since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $78.55since 2022-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| ConnecticutSpeech-language pathologist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $70.02since 2026-01-01 | — | — | Not classified | — | CMAP fee schedule: Independent Audiology |
| South CarolinaSpeech-language pathologist · South Carolina Healthy Connections Medicaid (fee-for-service) | $68.75since 2024-07-01 | — | — | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| IllinoisSpeech-language pathologist · Illinois Medicaid (HFS fee-for-service) | $66.42since 2024-04-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| WashingtonSpeech-language pathologist · Washington Apple Health (Medicaid) fee-for-service | $62.49since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Habilitative services fee schedule ( |
| North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service) | $61.75since 2025-10-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Nurse Practiti |
| KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $61.67since 2026-01-01 | visit | — | Plans negotiate; applies out of network | 64% | KY Medicaid ST fee schedule (2026SpeechT |
| GeorgiaSpeech-language pathologist · Georgia Medicaid (fee-for-service) | $52.97since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| CaliforniaSpeech-language pathologist · California Medi-Cal (fee-for-service) | $51.95since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| IowaSpeech-language pathologist · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $45.93since 2024-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #38 CERTIFIED |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $45.51since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid fee schedule 471-000-5 |
| New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $44.16since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| OhioSpeech-language pathologist · Ohio Medicaid (fee-for-service) | $43.99since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| FloridaSpeech-language pathologist · Florida Medicaid (fee-for-service) | $42.11since 2026-01-01 | — | — | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
| LouisianaSpeech-language pathologist · Louisiana Medicaid (fee-for-service) | $31.87since 2022-05-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid EPSDT Health Services |
| KansasSpeech-language pathologist · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $17.19since 2009-12-18 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 92609?
It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $74.29. Arizona pays the most ($347.77) and Kansas the least ($17.19).
Which state pays the highest Medicaid rate for 92609?
Arizona, at $347.77, effective 2025-10-01.
How do Medicaid rates for 92609 compare with Medicare?
Where the billing units match, Medicaid pays between 64% and 64% of the 2026 Medicare physician fee schedule amount for the state (non-facility).
Do managed-care plans pay the same rate for 92609?
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.
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Track 92609 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.