92610 Medicaid reimbursement rates by state
Swallowing assessment. 32 state Medicaid programs publish a fee-for-service rate for 92610 at the therapist slp level. Rates run from $14.84 in Illinois to $205.12 in Texas, with a median of $63.04.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 32
- Median rate
- $63.04units vary by state
- Highest
- $205.12Texas
- Medicare (non-facility)
- $78.88–$107.622026 physician fee schedule
92610 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 |
|---|---|---|---|---|---|---|
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $205.12⚠ over 3× mediansince 2017-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| IowaSpeech-language pathologist · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $100.69since 2024-07-01 | — | — | Plans must pay at least this | — | Iowa Medicaid fee schedule #38 CERTIFIED |
| KansasSpeech-language pathologist · MediKan (Kansas state-funded medical program, KMAP fee schedule) | $99.78since 2023-07-01 | — | — | Paid by the state, outside plans | — | KMAP Fee Schedule MKN Medicaid (FeeSched |
| ConnecticutSpeech-language pathologist · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $89.87since 2026-01-01 | — | — | Not classified | — | CMAP fee schedule: Independent Audiology |
| MarylandSpeech-language pathologist · Maryland Medicaid (fee-for-service, MDH) | $81.43since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| WisconsinSpeech-language pathologist · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $75.84since 2022-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Therapy- |
| New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service) | $75.34since 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) | $75.25since 2026-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| ColoradoSpeech-language pathologist · Child Health Plan Plus (CHP+, Colorado's CHIP) | $71.38since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| OregonSpeech-language pathologist · Oregon Health Plan (fee-for-service, OHA) | $68.73since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| LouisianaSpeech-language pathologist · Louisiana Medicaid (fee-for-service) | $68.31since 2025-07-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| MichiganSpeech-language pathologist · Michigan Medicaid (fee-for-service) | $66.55since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Occupational Therapy Fee Schedule |
| IndianaSpeech-language pathologist · Indiana Medicaid (fee-for-service) | $66.24since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| MinnesotaSpeech-language pathologist · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $65.86since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| MissouriSpeech-language pathologist · Missouri MO HealthNet (fee-for-service) | $65.17since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Practitioner |
| MassachusettsSpeech-language pathologist · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $64.50since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Emergency Adoption (date filed: Septembe |
| North CarolinaSpeech-language pathologist · North Carolina Medicaid Direct (fee-for-service) | $61.57since 2025-10-01 | — | — | Paid by the state, outside plans | — | NC Medicaid fee schedule 'Children Devel |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $60.90since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Arizona Health Care Cost Containm |
| NebraskaSpeech-language pathologist · Nebraska Medicaid (fee-for-service) | $59.11since 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) | $56.89since 2024-07-01 | — | — | Not classified | — | SCDHHS Base Physician Fee Schedule (sche |
| WashingtonSpeech-language pathologist · Washington Apple Health (Medicaid) fee-for-service | $51.60since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Habilitative services fee schedule ( |
| KentuckySpeech-language pathologist · Kentucky Medicaid (fee-for-service, DMS fee schedules) | $51.16since 2026-01-01 | visit | — | Plans negotiate; applies out of network | 64% | KY Medicaid ST fee schedule (2026SpeechT |
| FloridaSpeech-language pathologist · Florida Medicaid (fee-for-service) | $51.05since 2026-01-01 | — | — | Paid by the state, outside plans | — | Medicaid Certified School Match Program |
| OhioSpeech-language pathologist · Ohio Medicaid (fee-for-service) | $50.17since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Appendix DD to OAC 5160-1-60 (Non-Instit |
| VirginiaSpeech-language pathologist · Virginia Medicaid (fee-for-service, DMAS) | $50.06since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| CaliforniaSpeech-language pathologist · California Medi-Cal (fee-for-service) | $48.78since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $47.44since 2025-06-13 | — | — | Not classified | — | Arkansas Medicaid Physician / CRNA / Fam |
| PennsylvaniaSpeech-language pathologist · Pennsylvania Medical Assistance (fee-for-service) | $38.90since 2021-09-01 | — | — | Plans negotiate; applies out of network | — | PA DHS PROMISe Outpatient Fee Schedule ( |
| GeorgiaSpeech-language pathologist · Georgia Medicaid (fee-for-service) | $37.65since 2017-01-01 | — | — | Plans negotiate; applies out of network | — | Physician Maximum Allowed Fee Schedule - |
| New JerseySpeech-language pathologist · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $36.49since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| AlabamaSpeech-language pathologist · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $26.00since 2026-08-25 | — | — | Not classified | — | Physician Fee Schedule (REF-0129-Q) |
| IllinoisSpeech-language pathologist · Illinois Medicaid (HFS fee-for-service) | $14.84since 2024-12-01 | — | — | Plans negotiate; applies out of network | — | HFS Therapy Fee Schedule (effective 2024 |
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 92610?
It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $63.04. Texas pays the most ($205.12) and Illinois the least ($14.84).
Which state pays the highest Medicaid rate for 92610?
Texas, at $205.12, effective 2017-09-01.
How do Medicaid rates for 92610 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 92610?
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 92610 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.