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North Carolina Medicaid Speech Therapy Rates

North Carolina Medicaid rates for speech therapy services.  These are the fee-for-service rates so they may be different from Medicaid managed care rates and rates may change based on the setting or patient category.  Members can ask questions or request information on any Medicaid issue at any time.  Please contact us to request additional codes or updates.  

Updated November 7, 2024

Code

Description

Facility Rate

Non-Facility Rate

92507

Treatment Of Speech, Language, Voice, Communication, And/ Or Auditory

$23.93

$66.89

92508

Treatment Of Speech, Language, Voice, Communication, And/ Or Auditory

$10.97

$23.40

92521

Evaluation Of Speech Fluency

$91.67

$91.67

92522

Evaluation Of Speech Sound Production And Expression

$74.55

$74.55

92523

Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension

$154.64

$154.64

92524

Behavioral And Qualitative Analysis Of Voice And Resonance

$77.33

$77.33

92526

Treatment Of Swallowing Dysfunction And/Or Oral Function For Feeding

$22.29

$62.42

92550

Tympanometry And Reflex Threshold Measurements  

$12.94

$12.94

92551

Hearing Test

$8.10

$8.10

92552

Hearing Test

$16.32

$16.32

92553

Hearing Test

$20.83

$20.83

92555

Speech Audiometry Threshold;

$12.11

$12.11

92556

Speech Audiometry Threshold; With Speech Recognition

$18.16

$18.16

92557

Comprehensive Audiometry Threshold Evaluation And Speech Recognition (92553 And

$37.80

$37.80

92567

Tympanometry

$12.36

$13.78

92568

Acoustic Reflex Testing

$12.11

$12.11

92570

Acoustic Immittance Testing, Includes Tympanometry (Impedance Testing),  

$23.68

$25.09

92571

Special Hearing Test

$12.41

$12.41

92572

Special Hearing Test

$2.88

$2.88

92576

Special Hearing Test

$15.94

$15.94

92579

Visual Reinforcement Audiometry (Vra)

$22.91

$22.91

92582

Special Hearing Test

$22.91

$22.91

92583

Special Hearing Test

$25.01

$25.01

92585

Auditory Evoked Potentials For Evoked Response Audiometry

$80.72

$80.72

92587

Evoked Otoacoustic Emissions; Limited (Single Stimulus Level, Either Transient

$29.48

$29.48

92588

Evoked Otoacoustic Emissions; Comprehensive Or Diagnostic Evaluation

$48.76

$48.76

92590

Hearing Aid Examination And Selection Monaural

$34.82

$34.82

92591

Hearing Aid Exam And Selection Binaural

$52.29

$52.29

92592

Hearing Aid Check Monaural

$15.24

$15.24

92593

Hearing Aid Check Binaural

$23.04

$23.04

92594

Electroacoustic Evaluation For Hearing Aid Monaura

$16.83

$16.83

92595

Electroacoustic Evaluation For Hearing Aid Binaura

$25.15

$25.15

92607

Eval For Prescription For Speech Generating & Alt. Comm. Device - Face To Face

$117.41

$117.41

92608

Each Additional 30 Minutes (Use In Conjunction With 92607)

$22.45

$22.45

92609

Therapeutic Svcs For Use Of Speech Generating Device Including Prog. & Modif.

$62.39

$62.39

92610

Eval Of Swallowing And Oral Function For Feeding

$60.34

$60.34

92612

Endoscopic Study Of Swallowing

$53.71

$121.27

92620

Evaluation Of Central Auditory Function, With Report; Initial 60 Minutes

$59.05

$59.05

92621

Evaluation Of Central Auditory Function, With Report; Each Additional 15 Minutes

$13.71

$13.71

92626

Evaluation Of Auditory Function For Surgically Implanted Devices(S) Candidacyt Or Postoperative Status Of A Surgically Implanted Device(S); First Hour

$64.19

$64.19

92627

Evaluation Of Auditory Function For Surgically Implanted Device(S) Candidacy Or Postoperative Status Of A Surgically Implanted Device(S); Each Additional 15 Minutes

$15.65

$15.65

92630

Auditory Rehabilitation; Pre-Lingual Hearing Loss 

$41.65

$109.18

92633

Auditory Rehabilitation; Post-Lingual Hearing Loss 

$41.65

$109.18

92651

Aep Hearing Status Deter I&R

$68.11

$68.11

92652

Aep Thrshld Est Mlt Freq I&R

$90.20

$90.20

92653

Aep Neurodiagnostic I&R

$66.34

$66.34

96125

Standardized Cognitive Performance Testing (Eg, Ross Information Processing  

$119.57

$119.57

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