Swallowing and feeding therapy: Medicaid rates by state
43 states publish a Medicaid rate for swallowing and feeding therapy, compared at the therapist slp level. Rates range from $21.47 in Rhode Island to $129.34 in Texas.
- States
- 43
- Median
- —
- Highest
- $129.34Texas
- Lowest
- $21.47Rhode Island
Every state, ranked
| # | State | Rate | Unit | Per hour | Effective | Source |
|---|---|---|---|---|---|---|
| 1 | TexasSpeech-language pathologist | $129.34 | — | — | 2017-09-01 | Official source |
| 2 | New MexicoSpeech-language pathologist | $119.72 | — | — | 2025-01-01 | Official source |
| 3 | HawaiiSpeech-language pathologist | $88.12 | — | — | 2026-06-01 | Official source |
| 4 | ArizonaSpeech-language pathologist | $87.77 | — | — | 2021-10-01 | Official source |
| 5 | New HampshireSpeech-language pathologist | $85.60 | — | — | 2023-07-01 | Official source |
| 6 | MarylandSpeech-language pathologist | $80.85 | — | — | 2026-01-01 | Official source |
| 7 | IndianaSpeech-language pathologist | $79.30 | unit | — | 2026-01-01 | Official source |
| 8 | OklahomaSpeech-language pathologist | $74.82 | — | — | 2026-07-01 | Official source |
| 9 | VirginiaSpeech-language pathologist | $72.92 | — | — | 2026-07-01 | Official source |
| 10 | MontanaSpeech-language pathologist | $72.45 | — | — | 2026-07-01 | Official source |
| 11 | ConnecticutSpeech-language pathologist | $71.96 | — | — | 2026-01-01 | Official source |
| 12 | UtahSpeech-language pathologist | $71.92 | — | — | 2026-07-01 | Official source |
| 13 | VermontSpeech-language pathologist | $71.14 | — | — | 2026-01-01 | Official source |
| 14 | ColoradoSpeech-language pathologist | $70.82 | — | — | 2026-07-01 | Official source |
| 15 | KansasSpeech-language pathologist | $70.82 | — | — | 2024-08-01 | Official source |
| 16 | MississippiSpeech-language pathologist | $70.79 | — | — | 2026-07-01 | Official source |
| 17 | IdahoSpeech-language pathologist | $69.87 | — | — | 2026-07-01 | Official source |
| 18 | NevadaSpeech-language pathologist | $69.40 | — | — | 2017-01-01 | Official source |
| 19 | OregonSpeech-language pathologist | $68.17 | — | — | 2026-02-01 | Official source |
| 20 | LouisianaSpeech-language pathologist | $67.92 | — | — | 2025-07-01 | Official source |
| 21 | MichiganSpeech-language pathologist | $66.02 | — | — | 2026-01-01 | Official source |
| 22 | WisconsinSpeech-language pathologist | $65.44 | — | — | 2022-01-01 | Official source |
| 23 | MinnesotaSpeech-language pathologist | $65.35 | — | — | 2026-02-01 | Official source |
| 24 | MassachusettsSpeech-language pathologist | $64.41 | — | — | 2026-10-01 | Official source |
| 25 | MissouriSpeech-language pathologist | $64.31 | — | — | 2022-07-01 | Official source |
| 26 | North CarolinaSpeech-language pathologist | $62.42 | — | — | 2025-10-01 | Official source |
| 27 | South CarolinaSpeech-language pathologist | $58.68 | — | — | 2011-07-11 | Official source |
| 28 | MaineSpeech-language pathologist | $58.59 | — | — | 2026-01-01 | Official source |
| 29 | FloridaSpeech-language pathologist | $58.11 | — | — | 2026-01-01 | Official source |
| 30 | West VirginiaSpeech-language pathologist | $57.10 | — | — | 2026-04-01 | Official source |
| 31 | OhioSpeech-language pathologist | $55.16 | — | — | 2024-01-01 | Official source |
| 32 | WashingtonSpeech-language pathologist | $51.02 | — | — | 2026-07-01 | Official source |
| 33 | KentuckySpeech-language pathologist | $50.87 | visit | — | 2026-01-01 | Official source |
| 34 | GeorgiaSpeech-language pathologist | $47.83 | — | — | 2024-04-01 | Official source |
| 35 | PennsylvaniaSpeech-language pathologist | $47.74 | — | — | 2011-01-03 | Official source |
| 36 | IowaSpeech-language pathologist | $44.41 | — | — | 2024-07-01 | Official source |
| 37 | ArkansasPhysician or licensed psychologist (incl. BCBA-D) | $38.58 | — | — | 2025-06-13 | Official source |
| 38 | NebraskaSpeech-language pathologist | $36.43 | — | — | 2026-07-01 | Official source |
| 39 | New JerseySpeech-language pathologist | $36.17 | — | — | 2026-07-01 | Official source |
| 40 | CaliforniaSpeech-language pathologist | $33.82 | — | — | 2026-10-01 | Official source |
| 41 | AlabamaSpeech-language pathologist | $33.00 | — | — | 2026-08-25 | Official source |
| 42 | DelawareSpeech-language pathologist | $22.93 | — | — | 2026-01-01 | Official source |
| 43 | Rhode IslandSpeech-language pathologist | $21.47 | — | — | 1996-01-01 | Official source |
Frequently asked questions
Which state pays the most for swallowing and feeding therapy?
Texas: $129.34.
What is the average Medicaid rate for swallowing and feeding therapy?
Across 43 states the median is —, comparing the same provider level in each state.
Other Therapy (PT/OT/speech) services
Speech-language therapy46 statesPhysical therapy46 statesOccupational therapy46 statesOccupational therapy evaluation45 statesPhysical therapy evaluation45 statesSwallowing and feeding evaluation45 statesSpeech-language evaluation44 statesNutrition counseling (dietitian)41 statesSpeech-generating device therapy39 states
Swallowing and feeding therapy in your statesRates, plan rules, labor costs and changes, with alerts.