The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92015. 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
43
Median % of Medicare
--
Rate range
$5.00 - $42.72
92015 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $35.45 | -- | -- | 2026 |
| Alabama | $9.00 | -- | -- | 2026 |
| Arkansas | $34.09 | -- | -- | 2026 |
| Arizona | $20.74 | -- | -- | 2022 |
| California | $8.01 | -- | -- | 2026 |
| Colorado | $15.88 | -- | -- | 2026 |
| Connecticut | $42.72 | -- | -- | 2008 |
| District of Columbia | $16.68 | -- | Not required | 2026 |
| Delaware | $18.58 | -- | -- | 2026 |
| Florida | $12.64 | -- | -- | 2026 |
| Hawaii | $18.76 | -- | -- | 2025 |
| Iowa | $13.06 | -- | -- | 2024 |
| Idaho | $17.09 | -- | Not required | 2025 |
| Illinois | $24.24 | -- | -- | 2025 |
| Indiana | $17.89 | -- | -- | 2025 |
| Kansas | $6.30 | -- | -- | 1978 |
| Kentucky | $20.22 | -- | -- | 2026 |
| Massachusetts | $13.78 | -- | -- | 2025 |
| Maine | $13.26 | -- | -- | 2026 |
| Michigan | $10.01 | -- | -- | 2026 |
| Minnesota | $14.40 | -- | -- | 2026 |
| Missouri | $5.35 | -- | Varies | 2019 |
| Mississippi | $15.90 | -- | -- | 2023 |
| Montana | $25.88 | -- | -- | 2026 |
| North Carolina | $25.11 | -- | -- | 2025 |
| North Dakota | $21.03 | -- | Not required | 2026 |
| Nebraska | $21.93 | -- | -- | 2026 |
| New Hampshire | $23.20 | -- | Not required | 2026 |
| New Jersey | $38.50 | -- | Not required | 2026 |
| New Mexico | $27.40 | -- | -- | 2025 |
| Nevada | $18.62 | -- | -- | 2024 |
| Ohio | $20.07 | -- | -- | 2024 |
| Oklahoma | $17.10 | -- | -- | 2026 |
| Pennsylvania | $17.60 | -- | -- | 2023 |
| South Carolina | $12.82 | -- | -- | 2024 |
| Texas | $15.50* | -- | -- | 2016 |
| Utah | $5.00* | -- | Not required | 2025 |
| Virginia | $16.49* | -- | -- | 2026 |
| Vermont | $15.84 | -- | -- | 2026 |
| Washington | $11.27 | -- | -- | 2026 |
| Wisconsin | $9.97 | -- | -- | 2008 |
| West Virginia | $13.42 | -- | -- | 2026 |
| Wyoming | $19.05* | -- | -- | 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.
Related vision codes
- 92002 - Eye exam, new patient, intermediate
- 92004 - Eye exam, new patient, comprehensive
- 92012 - Eye exam, established patient, intermediate
- 92014 - Eye exam, established patient, comprehensive
- 92083 - Visual field examination, extended
- 92134 - Retinal imaging (OCT scan)
- 92250 - Photography of the back of the eye (fundus)
- 92273 - Full-field electroretinography (ERG)
Frequently asked questions
How much does Medicaid pay for 92015?
43 state Medicaid programs publish a fee-for-service rate for 92015 (determination of eyeglass prescription (refraction)), ranging from $5.00 in Utah to $42.72 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92015?
Connecticut publishes the highest Medicaid rate for 92015 at $42.72. Utah publishes the lowest at $5.00.
Does 92015 require prior authorization under Medicaid?
No publishing state flags 92015 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.