Speech-language therapy: Medicaid rates by state
39 states publish a Medicaid rate for speech-language therapy, compared at the therapist slp level. Per hour, rates range from — in Alabama to $198.64 in New Mexico.
- States
- 39
- Median per hour
- $72.16
- Highest
- $198.64New Mexico
- Lowest
- —Alabama
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | New MexicoSpeech-language pathologist | $49.66 | 15 min | $198.64 | 2026-07-01 | Official source |
| 2 | KentuckySpeech-language pathologist | $34.38 | 15 min | $137.52 | 2025-01-01 | Official source |
| 3 | IndianaSpeech-language pathologist | $18.12 | 15 min | $72.48 | 2014-01-01 | Official source |
| 4 | FloridaSpeech-language pathologist | $17.96 | 15 min | $71.84 | 2026-07-01 | Official source |
| 5 | MaineSpeech-language pathologist | $14.97 | 15 min | $59.88 | 2026-01-01 | Official source |
| 6 | New JerseySpeech-language pathologist | $7.71 | 15 min | $30.84 | 2024-07-01 | Official source |
| 7 | WashingtonSpeech-language pathologist | $144.10 | — | — | 2025-01-01 | Official source |
| 8 | ArizonaSpeech-language pathologist | $109.12 | — | — | 2026-10-01 | Official source |
| 9 | TexasSpeech-language pathologist | $107.78 | — | — | 2017-09-01 | Official source |
| 10 | VirginiaSpeech-language pathologist | $82.36 | one treatment session | — | 2026-07-01 | Official source |
| 11 | IowaSpeech-language pathologist | $76.38 | — | — | 2021-04-01 | Official source |
| 12 | OklahomaSpeech-language pathologist | $67.99 | — | — | 2026-07-01 | Official source |
| 13 | North CarolinaSpeech-language pathologist | $66.89 | — | — | 2025-10-01 | Official source |
| 14 | MontanaSpeech-language pathologist | $65.55 | — | — | 2026-07-01 | Official source |
| 15 | MississippiSpeech-language pathologist | $64.40 | — | — | 2026-07-01 | Official source |
| 16 | ColoradoSpeech-language pathologist | $64.06 | — | — | 2026-07-01 | Official source |
| 17 | MarylandSpeech-language pathologist | $63.99 | — | — | 2026-01-01 | Official source |
| 18 | NevadaSpeech-language pathologist | $63.64 | — | — | 2017-01-01 | Official source |
| 19 | IdahoSpeech-language pathologist | $63.41 | — | — | 2026-07-01 | Official source |
| 20 | KansasSpeech-language pathologist | $62.61 | — | — | 2024-08-01 | Official source |
| 21 | OregonSpeech-language pathologist | $61.64 | — | — | 2026-02-01 | Official source |
| 22 | MichiganSpeech-language pathologist | $59.74 | — | — | 2026-01-01 | Official source |
| 23 | MinnesotaSpeech-language pathologist | $59.17 | — | — | 2026-02-01 | Official source |
| 24 | WisconsinSpeech-language pathologist | $59.16 | — | — | 2022-01-01 | Official source |
| 25 | MissouriSpeech-language pathologist | $57.95 | — | — | 2022-07-01 | Official source |
| 26 | MassachusettsSpeech-language pathologist | $57.81 | — | — | 2026-10-01 | Official source |
| 27 | OhioSpeech-language pathologist | $57.23 | — | — | 2024-01-01 | Official source |
| 28 | IllinoisSpeech-language pathologist | $49.44 | — | — | 2024-04-01 | Official source |
| 29 | ConnecticutSpeech-language pathologist | $47.45 | — | — | 2026-01-01 | Official source |
| 30 | New YorkAny qualified provider (rate does not vary by provider) | $40.31 | unit | — | 2023-04-01 | Official source |
| 31 | West VirginiaSpeech-language pathologist | $39.04 | — | — | 2026-04-01 | Official source |
| 32 | CaliforniaSpeech-language pathologist | $37.69 | — | — | 2026-10-01 | Official source |
| 33 | LouisianaSpeech-language pathologist | $30.00 | — | — | 2013-03-01 | Official source |
| 34 | South CarolinaSpeech-language pathologist | $24.81 | — | — | 2024-07-01 | Official source |
| 35 | GeorgiaSpeech-language pathologist | $23.85 | — | — | 2017-01-01 | Official source |
| 36 | ArkansasSpeech-language pathologist | $23.20 | — | — | 2023-04-01 | Official source |
| 37 | PennsylvaniaSpeech-language pathologist | $21.70 | — | — | 2023-09-05 | Official source |
| 38 | NebraskaSpeech-language pathologist | $20.57 | — | — | 2026-07-01 | Official source |
| 39 | AlabamaSpeech-language pathologist | $14.30 | 15 min | — | 2020-12-17 | Official source |
Frequently asked questions
Which state pays the most for speech-language therapy?
New Mexico: $49.66 per 15 min ($198.64 per hour).
What is the average Medicaid rate for speech-language therapy?
Across 39 states the median is $72.16 per hour, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Physical therapy40 statesOccupational therapy40 statesOccupational therapy evaluation39 statesPhysical therapy evaluation39 statesSwallowing and feeding evaluation39 statesSpeech-language evaluation38 statesNutrition counseling (dietitian)37 statesSwallowing and feeding therapy37 statesSpeech-generating device therapy33 states
Speech-language therapy in your statesRates, plan rules, labor costs and changes, with alerts.