Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for V5230. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
11
Median % of Medicare
--
Rate range
$0.01 - $1,585.43
V5230 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $0.01 | -- | -- | 2026 |
| Illinois | $752.00 | -- | -- | 2026 |
| Kansas | $550.00 | -- | -- | 2006 |
| Louisiana | $553.73 | -- | -- | 2026 |
| Maine | $1,585.43 | -- | -- | 2026 |
| North Dakota | $1,263.38 | -- | Not required | 2026 |
| New Hampshire | $425.18 | -- | Not required | 2026 |
| Nevada | $700.00 | -- | -- | -- |
| Ohio | $254.63 | -- | -- | 2024 |
| Pennsylvania | $497.25 | -- | -- | 2011 |
| Wisconsin | $32.53* | -- | -- | 2022 |
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.
Related hearing codes
- V5008 - Hearing screening
- V5010 - Assessment for hearing aid
- V5011 - Fitting/orientation/checking of hearing aid
- V5014 - Repair/modification of a hearing aid
- V5020 - Conformity evaluation
- V5030 - Hearing aid, monaural, body worn, air conduction
- V5040 - Hearing aid, monaural, body worn, bone conduction
- V5050 - Hearing aid, monaural, in the ear
All 53 codes from V5008 to V5275 or every hearing code by number.
Frequently asked questions
How much does Medicaid pay for V5230?
11 state Medicaid programs publish a fee-for-service rate for V5230 (hearing aid, contralateral routing system, binaural, glasses), ranging from $0.01 in California to $1,585.43 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for V5230?
Maine publishes the highest Medicaid rate for V5230 at $1,585.43. California publishes the lowest at $0.01.
Does V5230 require prior authorization under Medicaid?
No publishing state flags V5230 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.