Skip to content
Billing code V5011 · Vision & hearing

V5011 Medicaid reimbursement rate by state (2026)

Fitting/orientation/checking of hearing aid. Medicaid pays a median of $50.00 for V5011 across 24 states, from $10.30 in Missouri to $150.20 in Alaska.

Data as of Oct 5, 202624 statesEvery rate links to its official source

States publishing
24
National median
$50.00units vary by state
Lowest
$10.30Missouri
Highest
$150.20Alaska
Answer

What does Medicaid pay for V5011?

24 state Medicaid programs publish a fee-for-service rate for V5011. The national median is $50.00 (units differ between states). Alaska pays the most, $150.20, and Missouri the least, $10.30, a 14.6x spread.

State ranking

V5011 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$150.20——Not classified—
2Vermont Source · since 2023-03-01$150.00——Not classified—
3Oregon Source · since 2024-10-01$126.82——Plans negotiate; applies out of network—
12Connecticut Source · since 2007-05-01$50.00——Not classified—
13Wyoming Source · since 2025-10-01$50.00——Not classified—
14New Mexico Source · since 2025-01-01$49.02——Plans must pay at least this—
23Nevada Source · since 2024-04-01$11.18——Plans must pay at least this—
24Missouri Source · since 2019-07-01$10.30——Plans negotiate; applies out of network—
See all 24 states for V5011 — start free

16 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 V5011 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for V5011?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $50.00. Alaska pays the most ($150.20) and Missouri the least ($10.30).

Which state pays the highest Medicaid rate for V5011?

Alaska, at $150.20, effective 2026-07-01.

Do managed-care plans pay the same rate for V5011?

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.