The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92310. 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
39
Median % of Medicare
--
Rate range
$20.60 - $260.18
92310 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $168.87 | -- | -- | 2026 |
| Alabama | $49.20 | -- | -- | 2026 |
| Arizona | $101.46 | -- | -- | 2025 |
| California | $36.40 | -- | -- | 2026 |
| Colorado | $98.82 | -- | -- | 2026 |
| Connecticut | $51.33 | -- | -- | 2008 |
| District of Columbia | $91.16 | -- | Not required | 2026 |
| Hawaii | $57.46 | -- | -- | 2025 |
| Iowa | $68.80 | -- | -- | 2024 |
| Idaho | $78.29 | -- | Not required | 2025 |
| Indiana | $92.26 | -- | -- | 2025 |
| Kansas | $55.00 | -- | -- | 2007 |
| Kentucky | $69.74 | -- | -- | 2026 |
| Massachusetts | $76.65 | -- | -- | 2026 |
| Maine | $68.89 | -- | -- | 2026 |
| Michigan | $64.33 | -- | -- | 2026 |
| Minnesota | $77.70 | -- | Conditional | 2026 |
| Missouri | $20.60 | -- | Required | 2019 |
| Mississippi | $48.84 | -- | -- | 2023 |
| Montana | $134.37 | -- | -- | 2026 |
| North Carolina | $148.74 | -- | -- | 2025 |
| North Dakota | $111.90 | -- | Required | 2026 |
| Nebraska | $131.61 | -- | -- | 2026 |
| New Hampshire | $27.38 | -- | Not required | 2026 |
| New Jersey | $78.00 | -- | Not required | 2026 |
| New Mexico | $228.82 | -- | -- | 2023 |
| Nevada | $89.18 | -- | -- | 2024 |
| New York | $151.50 | -- | -- | 2026 |
| Ohio | $89.54 | -- | -- | 2024 |
| Oklahoma | $87.87 | -- | -- | 2026 |
| South Carolina | $65.68 | -- | -- | 2024 |
| Texas | $80.46* | -- | -- | 2023 |
| Utah | $76.15* | -- | Not required | 2026 |
| Virginia | $87.38* | -- | -- | 2026 |
| Vermont | $84.47 | -- | Required | 2026 |
| Washington | $61.53 | -- | -- | 2026 |
| Wisconsin | $260.18 | -- | -- | 2008 |
| West Virginia | $68.08 | -- | -- | 2026 |
| Wyoming | $88.77* | -- | -- | 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)
- 92018 - Eye exam under general anesthesia, complete
- 92019 - Eye exam under general anesthesia, limited
- 92020 - Gonioscopy (eye drainage angle exam)
Frequently asked questions
How much does Medicaid pay for 92310?
39 state Medicaid programs publish a fee-for-service rate for 92310 (contact lens fitting, both eyes), ranging from $20.60 in Missouri to $260.18 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92310?
Wisconsin publishes the highest Medicaid rate for 92310 at $260.18. Missouri publishes the lowest at $20.60.
Does 92310 require prior authorization under Medicaid?
4 of the 39 publishing states flag 92310 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".