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E2504 Medicaid reimbursement rate by state (2026)

Speech generating device, digitized speech. Medicaid pays a median of $1,339.99 for E2504 across 44 states, from $126.19 in Kentucky to $2,699.27 in North Dakota.

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

States publishing
44
National median
$1,339.99units vary by state
Lowest
$126.19Kentucky
Highest
$2,699.27North Dakota

What does Medicaid pay for E2504?

44 state Medicaid programs publish a fee-for-service rate for E2504. The national median is $1,339.99 (units differ between states). North Dakota pays the most, $2,699.27, and Kentucky the least, $126.19, a 21.4x spread.

E2504 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$2,699.27——Not classified—
2Arizona Source · since 2026-10-01$2,606.16——Plans negotiate; applies out of network—
3Oklahoma Source · since 2026-01-01$2,248.05——Plans must pay at least this—
22Massachusetts Source · since 2026-03-01$1,372.10——Plans negotiate; applies out of network—
23Nevada Source · since 2017-01-01$1,307.88——Plans negotiate; applies out of network—
24Missouri Source · since 2019-07-01$1,218.83——Plans negotiate; applies out of network—
43Georgia Source · since 2016-07-01$126.21——Plans negotiate; applies out of network—
44Kentucky Source · since 2020-01-01$126.19——State sets the plan rate—
See all 44 states for E2504 — start free

36 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track E2504 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for E2504?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $1,339.99. North Dakota pays the most ($2,699.27) and Kentucky the least ($126.19).

Which state pays the highest Medicaid rate for E2504?

North Dakota, at $2,699.27, effective 2026-07-01.

Do managed-care plans pay the same rate for E2504?

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 workspace shows the rule for each state, cited to the contract or statute.