The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for V5257. 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
22
Median % of Medicare
--
Rate range
$32.53 - $1,903.99
V5257 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $1,525.02 | -- | -- | 2026 |
| Connecticut | $500.00 | -- | -- | 2007 |
| Iowa | $1,903.99 | -- | -- | 2019 |
| Idaho | $527.75 | -- | Not required | 2025 |
| Illinois | $376.00 | -- | -- | 2026 |
| Indiana | $609.52 | -- | Required | 2025 |
| Kansas | $250.00 | -- | -- | 2006 |
| Missouri | $396.64* | -- | Varies | 2019 |
| Mississippi | $1,600.00 | -- | -- | 2020 |
| Montana | $530.22* | -- | Required | 2026 |
| North Dakota | $631.72 | -- | Required | 2026 |
| Nebraska | $668.13 | -- | -- | 2026 |
| New Hampshire | $478.33 | -- | Not required | 2026 |
| Nevada | $350.00 | -- | -- | 1980 |
| New York | $340.37 | -- | -- | 2026 |
| Ohio | $763.88 | -- | -- | 2024 |
| Utah | $600.00* | -- | Required | 2017 |
| Virginia | $1,175.00* | -- | -- | 2008 |
| Vermont | $450.00 | -- | -- | 2026 |
| Washington | $542.10* | -- | -- | 2026 |
| Wisconsin | $32.53* | -- | -- | 2022 |
| Wyoming | $1,000.00 | -- | -- | 2026 |
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 V5257?
22 state Medicaid programs publish a fee-for-service rate for V5257 (hearing aid, digital, monaural, bte), ranging from $32.53 in Wisconsin to $1,903.99 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for V5257?
Iowa publishes the highest Medicaid rate for V5257 at $1,903.99. Wisconsin publishes the lowest at $32.53.
Does V5257 require prior authorization under Medicaid?
4 of the 22 publishing states flag V5257 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".