Every state, kept current
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 and state 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 | $19.53 | -- | -- | 2025 |
| 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 | $14.81 | -- | -- | 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 | $12.14 | -- | -- | 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
- 92018 - Eye exam under general anesthesia, complete
- 92019 - Eye exam under general anesthesia, limited
- 92020 - Gonioscopy (eye drainage angle exam)
- 92025 - Corneal shape mapping (topography)
All 55 codes from 92002 to 92499 or every vision code by number.
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.