The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92273. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
47
Median % of Medicare
86.6%
Rate range
$50.57 - $342.72
92273 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $195.63 | 158.7% | -- | 2026 |
| Alabama | $86.58 | 70.2% | -- | 2026 |
| Arkansas | $146.11 | 118.5% | -- | 2026 |
| Arizona | $130.29 | 105.7% | -- | 2022 |
| California | $122.88 | 99.7% | -- | 2026 |
| Colorado | $110.43 | 89.6% | -- | 2026 |
| Connecticut | $100.74 | 81.7% | -- | 2026 |
| District of Columbia | $113.88 | 92.4% | Not required | 2026 |
| Delaware | $119.62 | 97.1% | -- | 2026 |
| Georgia | $115.08 | 93.4% | -- | 2026 |
| Hawaii | $140.57 | 114.1% | -- | 2025 |
| Iowa | $55.67 | 45.2% | -- | 2024 |
| Idaho | $99.13 | 80.4% | Not required | 2026 |
| Illinois | $78.55 | 63.7% | -- | 2024 |
| Indiana | $115.45 | 93.7% | -- | 2025 |
| Kansas | $89.35 | 72.5% | -- | 2024 |
| Kentucky | $101.11 | 82% | -- | 2026 |
| Louisiana | $111.48 | 90.5% | -- | 2026 |
| Massachusetts | $99.45 | 80.7% | -- | 2026 |
| Maine | $83.17 | 67.5% | -- | 2026 |
| Michigan | $78.60 | 63.8% | -- | 2026 |
| Minnesota | $96.48 | 78.3% | -- | 2026 |
| Missouri | $126.37 | 102.5% | Varies | 2026 |
| Mississippi | $163.98 | 133% | -- | 2026 |
| Montana | $167.97 | 136.3% | -- | 2026 |
| North Carolina | $110.40 | 89.6% | -- | 2025 |
| North Dakota | $137.81 | 111.8% | Not required | 2026 |
| Nebraska | $182.61 | 148.2% | -- | 2026 |
| New Hampshire | $73.62 | 59.7% | Not required | 2026 |
| New Jersey | $63.38 | 51.4% | Not required | 2026 |
| New Mexico | $172.09 | 139.6% | -- | 2025 |
| Nevada | $122.50 | 99.4% | -- | 2024 |
| New York | $113.06 | 91.7% | -- | 2026 |
| Ohio | $50.57 | 41% | -- | 2024 |
| Oklahoma | $105.03 | 85.2% | -- | 2026 |
| Oregon | $100.30* | 81.4% | -- | 2026 |
| Pennsylvania | $118.32 | 96% | -- | 2019 |
| Rhode Island | $342.72 | 278.1% | -- | 2026 |
| South Carolina | $81.57 | 66.2% | -- | 2024 |
| Texas | $101.04* | 82% | -- | 2019 |
| Utah | $91.97* | 74.6% | Not required | 2026 |
| Virginia | $106.77 | 86.6% | -- | 2026 |
| Vermont | $104.03 | 84.4% | -- | 2026 |
| Washington | $76.63 | 62.2% | -- | 2026 |
| Wisconsin | $104.80 | 85% | -- | 2019 |
| West Virginia | $80.52 | 65.3% | -- | 2026 |
| Wyoming | $107.50 | 87.2% | -- | 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
- 92015 - Determination of eyeglass prescription (refraction)
- 92083 - Visual field examination, extended
- 92134 - Retinal imaging (OCT scan)
- 92250 - Photography of the back of the eye (fundus)
Frequently asked questions
How much does Medicaid pay for 92273?
47 state Medicaid programs publish a fee-for-service rate for 92273 (full-field electroretinography (ERG)), ranging from $50.57 in Ohio to $342.72 in Rhode Island, with a median of 86.6% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92273?
Rhode Island publishes the highest Medicaid rate for 92273 at $342.72 (278.1% of the national Medicare amount). Ohio publishes the lowest at $50.57.
Does 92273 require prior authorization under Medicaid?
No publishing state flags 92273 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.