How Much Does Medicaid Pay for Speech Therapy?
Speech-language pathology evaluation and treatment services covered by Medicaid.
Service Speech Therapy Year 2024 Codes 9
Medicaid speech therapy reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $5.60 in Utah to $129.66 in Alaska — a 23.1x difference.
53 states reported speech therapy claims to HHS in 2024, covering 9 procedure codes. The data below is based on official Medicaid claims records published by the U.S. Department of Health and Human Services.
Included Procedure Codes
92507 — Tx sp lang voice comm indiv92508 — Tx sp lang voice comm group92521 — Evaluation of speech fluency92522 — Evaluate speech production92523 — Speech sound lang comprehen92524 — Behavral qualit analys voice92526 — Oral function therapy92610 — Evaluate swallowing function92611 — Motion fluoroscopy/swallow
Average Payment by State
| State | Value |
|---|---|
| Alabama | $50.39 |
| Alaska | $129.66 |
| Arizona | $45.19 |
| Arkansas | $71.20 |
| California | $26.30 |
| Colorado | $30.27 |
| Connecticut | $42.84 |
| Delaware | $43.04 |
| District of Columbia | $120.33 |
| Florida | $36.61 |
| Georgia | $64.50 |
| Hawaii | $74.74 |
| Idaho | $35.90 |
| Illinois | $22.55 |
| Indiana | $50.42 |
| Iowa | $64.19 |
| Kansas | $36.91 |
| Kentucky | $25.42 |
| Louisiana | $26.43 |
| Maine | $34.42 |
| Maryland | $38.74 |
| Massachusetts | $47.91 |
| Michigan | $61.71 |
| Minnesota | $52.40 |
| Mississippi | $51.04 |
| Missouri | $41.57 |
| Montana | $34.31 |
| Nebraska | $43.65 |
| Nevada | $37.14 |
| New Hampshire | $34.81 |
| New Jersey | $86.43 |
| New Mexico | $36.06 |
| New York | $60.46 |
| North Carolina | $53.72 |
| North Dakota | $60.58 |
| Ohio | $59.72 |
| Oklahoma | $60.62 |
| Oregon | $58.36 |
| Pennsylvania | $40.20 |
| Puerto Rico | $62.91 |
| Rhode Island | $22.47 |
| South Carolina | $54.78 |
| South Dakota | $27.08 |
| Tennessee | $45.29 |
| Texas | $77.43 |
| U.S. Virgin Islands | $71.98 |
| Utah | $5.60 |
| Vermont | $62.79 |
| Virginia | $72.65 |
| Washington | $30.37 |
| West Virginia | $38.31 |
| Wisconsin | $14.68 |
| Wyoming | $50.81 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $50.39 | 320,522 | $16,150,012.05 | 8 |
| Alaska | $129.66 | 51,300 | $6,651,520.95 | 4 |
| Arizona | $45.19 | 1,306,844 | $59,055,056.09 | 9 |
| Arkansas | $71.20 | 1,250,557 | $89,045,790.27 | 5 |
| California | $26.30 | 4,754,687 | $125,048,755.41 | 9 |
| Colorado | $30.27 | 524,365 | $15,873,141.66 | 7 |
| Connecticut | $42.84 | 490,924 | $21,033,413.61 | 7 |
| Delaware | $43.04 | 39,547 | $1,702,050.05 | 5 |
| District of Columbia | $120.33 | 35,697 | $4,295,313.55 | 3 |
| Florida | $36.61 | 3,463,216 | $126,794,825.59 | 8 |
| Georgia | $64.50 | 118,888 | $7,668,294.46 | 8 |
| Hawaii | $74.74 | 6,758 | $505,102.61 | 7 |
| Idaho | $35.90 | 286,737 | $10,293,267.11 | 5 |
| Illinois | $22.55 | 1,780,305 | $40,148,021.73 | 5 |
| Indiana | $50.42 | 842,799 | $42,492,939.96 | 7 |
| Iowa | $64.19 | 110,201 | $7,073,745.04 | 7 |
| Kansas | $36.91 | 387,788 | $14,311,633.82 | 6 |
| Kentucky | $25.42 | 899,284 | $22,857,551.83 | 8 |
| Louisiana | $26.43 | 978,578 | $25,865,180.99 | 8 |
| Maine | $34.42 | 139,355 | $4,796,372.31 | 7 |
| Maryland | $38.74 | 820,083 | $31,766,731.09 | 6 |
| Massachusetts | $47.91 | 341,691 | $16,369,921.17 | 7 |
| Michigan | $61.71 | 235,626 | $14,540,330.12 | 8 |
| Minnesota | $52.40 | 244,854 | $12,830,274.60 | 5 |
| Mississippi | $51.04 | 216,662 | $11,058,027.84 | 6 |
| Missouri | $41.57 | 294,966 | $12,261,050.09 | 5 |
| Montana | $34.31 | 133,073 | $4,565,441.14 | 4 |
| Nebraska | $43.65 | 63,260 | $2,761,193.05 | 5 |
| Nevada | $37.14 | 445,311 | $16,537,119.47 | 6 |
| New Hampshire | $34.81 | 127,748 | $4,447,060.70 | 4 |
| New Jersey | $86.43 | 243,267 | $21,024,746.58 | 8 |
| New Mexico | $36.06 | 481,476 | $17,361,630.61 | 8 |
| New York | $60.46 | 1,652,359 | $99,897,277.68 | 9 |
| North Carolina | $53.72 | 2,061,299 | $110,723,813.26 | 9 |
| North Dakota | $60.58 | 94,868 | $5,747,014.59 | 3 |
| Ohio | $59.72 | 994,314 | $59,376,693.29 | 8 |
| Oklahoma | $60.62 | 388,697 | $23,564,730.07 | 6 |
| Oregon | $58.36 | 112,816 | $6,584,160.26 | 5 |
| Pennsylvania | $40.20 | 933,875 | $37,539,328.11 | 8 |
| Puerto Rico | $62.91 | 420,530 | $26,457,249.89 | 7 |
| Rhode Island | $22.47 | 183,132 | $4,114,933.63 | 6 |
| South Carolina | $54.78 | 806,408 | $44,173,922.53 | 8 |
| South Dakota | $27.08 | 49,862 | $1,350,420.96 | 5 |
| Tennessee | $45.29 | 655,893 | $29,705,746.24 | 7 |
| Texas | $77.43 | 3,837,213 | $297,113,022.86 | 7 |
| U.S. Virgin Islands | $71.98 | 5,614 | $404,110.63 | 2 |
| Utah | $5.60 | 144,672 | $810,390.45 | 7 |
| Vermont | $62.79 | 1,071 | $67,251.93 | 2 |
| Virginia | $72.65 | 674,780 | $49,020,308.07 | 9 |
| Washington | $30.37 | 463,524 | $14,077,231.01 | 8 |
| West Virginia | $38.31 | 56,123 | $2,150,082.04 | 5 |
| Wisconsin | $14.68 | 967,811 | $14,210,525.70 | 8 |
| Wyoming | $50.81 | 17,123 | $870,030.00 | 3 |