The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Washington hearing schedule has 12 codes.
- Every code on all 51 published schedules
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Published codes
12
Hearing procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Common hearing procedures and what Washington Medicaid pays
A curated sample of recognizable procedures from the 12-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Washington rate | % of Medicare |
|---|---|---|---|
| V5011 | Fitting/orientation/checking of hearing aid | $33.09 | -- |
| V5257 | Hearing aid, digital, monaural, bte | $542.10* | -- |
| V5264 | Ear mold/insert, not disposable, any type | $38.87* | -- |
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 * show the schedule's representative published variant.
More Washington Medicaid fee schedules
- Washington physician fee schedule · 6,545 codes
- Washington lab & imaging fee schedule · 2,051 codes
- Washington dme & supplies fee schedule · 1,647 codes
- Washington drugs fee schedule · 881 codes
- Washington other services fee schedule · 275 codes
- Washington vision fee schedule · 66 codes
Hearing rates in neighboring states
Frequently asked questions
What does Washington Medicaid pay for hearing services and devices?
Washington Medicaid publishes 12 hearing procedure rates effective 2026 on its fee-for-service schedule. The schedule covers hearing tests, hearing aids, and ear molds. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Washington's hearing rates compare with Medicare?
Most hearing codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do hearing services need prior authorization in Washington?
Washington does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Washington's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Washington changes these rates.