The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for V5011. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
20
Median % of Medicare
--
Rate range
$11.18 - $150.20
V5011 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $150.20 | -- | -- | 2026 |
| California | $32.42 | -- | -- | 2026 |
| Colorado | $67.33 | -- | -- | 2026 |
| Connecticut | $50.00 | -- | -- | 2007 |
| Hawaii | $80.00 | -- | -- | 2025 |
| Kentucky | $42.26 | -- | -- | 2007 |
| Massachusetts | $37.35 | -- | -- | 2025 |
| Maine | $56.85 | -- | -- | 2026 |
| Minnesota | $11.97 | -- | -- | 2009 |
| Missouri | $26.53* | -- | Not required | 2019 |
| New Hampshire | $54.74 | -- | Not required | 2026 |
| New Jersey | $45.39 | -- | Required | 2026 |
| New Mexico | $49.02 | -- | -- | 2025 |
| Nevada | $11.18 | -- | -- | 1980 |
| Oklahoma | $117.04 | -- | -- | 2020 |
| Texas | $64.45* | -- | -- | 2023 |
| Virginia | $80.00 | -- | -- | 2008 |
| Vermont | $150.00 | -- | -- | 2026 |
| Washington | $33.09 | -- | -- | 2026 |
| Wyoming | $50.00 | -- | -- | 2025 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Frequently asked questions
How much does Medicaid pay for V5011?
20 state Medicaid programs publish a fee-for-service rate for V5011 (fitting/orientation/checking of hearing aid), ranging from $11.18 in Nevada to $150.20 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for V5011?
Alaska publishes the highest Medicaid rate for V5011 at $150.20. Nevada publishes the lowest at $11.18.
Does V5011 require prior authorization under Medicaid?
1 of the 20 publishing states flag V5011 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".