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Billing code V5060 · Vision & hearing

V5060 Medicaid reimbursement rate by state (2026)

Hearing aid, monaural, behind the ear. Medicaid pays a median of $441.73 for V5060 across 36 states, from $1.53 in California to $1,500.00 in Alaska.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$441.73units vary by state
Lowest
$1.53California
Highest
$1,500.00Alaska
Answer

What does Medicaid pay for V5060?

36 state Medicaid programs publish a fee-for-service rate for V5060. The national median is $441.73 (units differ between states). Alaska pays the most, $1,500.00, and California the least, $1.53, a 980.4x spread.

State ranking

V5060 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$1,500.00——Not classified—
2South Carolina Source · since 2024-07-01$873.00——Not classified—
3District of Columbia Source · since 2008-03-01$850.00——Not classified—
18Vermont Source · since 2023-03-01$450.00——Not classified—
19Nebraska Source · since 2026-07-01$433.46——Plans negotiate; applies out of network—
20Maine Source · since 2026-01-01$428.40——Not classified—
35Washington Source · since 2021-07-01$29.17——Plans negotiate; applies out of network—
36California Source · since 2026-10-01$1.53——Plans negotiate; applies out of network—
See all 36 states for V5060 — start free

28 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.

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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 V5060 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 V5060?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $441.73. Alaska pays the most ($1,500.00) and California the least ($1.53).

Which state pays the highest Medicaid rate for V5060?

Alaska, at $1,500.00, effective 2026-07-01.

Do managed-care plans pay the same rate for V5060?

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.