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Home health speech therapy: Medicaid rates by state

23 states publish a Medicaid rate for home health speech therapy, compared at the therapist slp level. Per hour, rates range from — in Kansas to $550.44 in Missouri.

States
23
Median per hour
$98.52
Highest
$550.44Missouri
Lowest
—Kansas

Every state, ranked

#StateRateUnitPer hourEffectiveSource
1MissouriSpeech-language pathologist$137.6115 min$550.442024-07-01Official source
2MichiganSpeech-language pathologist$85.9315 min$343.722023-10-01Official source
3ArizonaSpeech-language pathologist$34.7215 min$138.882026-10-01Official source
4LouisianaSpeech-language pathologist$27.2215 min$108.882023-04-03Official source
5ConnecticutSpeech-language pathologist$24.6315 min$98.522021-07-01Official source
6PennsylvaniaSpeech-language pathologist$21.7215 min$86.882018-07-01Official source
7NevadaSpeech-language pathologist$18.8115 min$75.242024-01-01Official source
8IndianaSpeech-language pathologist$18.7815 min$75.122023-07-01Official source
9OhioSpeech-language pathologist$4.7715 min$19.082024-01-01Official source
10OregonSpeech-language pathologist$206.03——2025-01-01Official source
11MarylandSpeech-language pathologist$189.32——2026-01-01Official source
12IowaSpeech-language pathologist$159.71——2025-07-01Official source
13New YorkSpeech-language pathologist$156.79visit—2025-01-01Official source
14ColoradoSpeech-language pathologist$147.99One visit up to 2 ½ hours—2022-07-01Official source
15VirginiaSpeech-language pathologist$146.30——2025-07-01Official source
16North CarolinaSpeech-language pathologist$120.561 visit—2025-10-01Official source
17NebraskaSpeech-language pathologist$116.38visit—2026-07-01Official source
18IllinoisSpeech-language pathologist$111.00VST—2026-01-01Official source
19MinnesotaSpeech-language pathologist$110.07day—2026-01-01Official source
20MassachusettsSpeech-language pathologist$76.44visit—2020-07-01Official source
21MississippiAny qualified provider (rate does not vary by provider)$65.00visit—2024-10-01Official source
22New JerseySpeech-language pathologist$48.00day—2025-01-01Official source
23KansasSpeech-language pathologist$40.00day—2002-09-01Official source

Frequently asked questions

Which state pays the most for home health speech therapy?

Missouri: $137.61 per 15 min ($550.44 per hour).

What is the average Medicaid rate for home health speech therapy?

Across 23 states the median is $98.52 per hour, comparing the same provider level in each state.

Other Home health services

Home health speech therapy in your statesRates, plan rules, labor costs and changes, with alerts.
Medicaid rates by state