V5261 Medicaid reimbursement rate by state (2026)
Hearing aid, digital, binaural, bte. Medicaid pays a median of $1,164.90 for V5261 across 32 states, from $32.53 in Wisconsin to $3,200.00 in Mississippi.
- States publishing
- 32
- National median
- $1,164.90units vary by state
- Lowest
- $32.53Wisconsin
- Highest
- $3,200.00Mississippi
What does Medicaid pay for V5261?
32 state Medicaid programs publish a fee-for-service rate for V5261. The national median is $1,164.90 (units differ between states). Mississippi pays the most, $3,200.00, and Wisconsin the least, $32.53, a 98.4x spread.
V5261 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for V5261?
It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $1,164.90. Mississippi pays the most ($3,200.00) and Wisconsin the least ($32.53).
Which state pays the highest Medicaid rate for V5261?
Mississippi, at $3,200.00, effective 2013-12-01.
Do managed-care plans pay the same rate for V5261?
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.