The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92340. 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
36
Median % of Medicare
--
Rate range
$9.92 - $101.47
92340 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $58.53 | -- | -- | 2026 |
| Alabama | $18.00 | -- | -- | 2026 |
| Arkansas | $51.22 | -- | -- | 2026 |
| Arizona | $35.67 | -- | -- | 2022 |
| California | $10.77 | -- | -- | 2026 |
| Colorado | $27.53 | -- | -- | 2026 |
| Connecticut | $24.20 | -- | -- | 2008 |
| District of Columbia | $32.46 | -- | Not required | 2026 |
| Florida | $12.41 | -- | -- | 2026 |
| Georgia | $28.21 | -- | -- | 2026 |
| Hawaii | $18.04 | -- | -- | 2025 |
| Idaho | $22.68 | -- | Not required | 2025 |
| Illinois | $40.59 | -- | -- | 2025 |
| Kentucky | $33.00 | -- | -- | 2026 |
| Louisiana | $12.36 | -- | -- | 2026 |
| Massachusetts | $33.06 | -- | -- | 2025 |
| Maine | $24.36 | -- | -- | 2026 |
| Michigan | $20.21 | -- | -- | 2023 |
| Minnesota | $27.53 | -- | -- | 2026 |
| Mississippi | $15.34 | -- | -- | 2023 |
| Montana | $47.23 | -- | -- | 2026 |
| North Carolina | $9.92 | -- | -- | 2025 |
| North Dakota | $39.80 | -- | Not required | 2026 |
| Nebraska | $101.47 | -- | -- | 2026 |
| New Hampshire | $26.55 | -- | Not required | 2026 |
| New Mexico | $48.31 | -- | -- | 2025 |
| Nevada | $33.14 | -- | -- | 2024 |
| New York | $15.15 | -- | -- | 2026 |
| Ohio | $25.04 | -- | -- | 2024 |
| Oklahoma | $30.99 | -- | -- | 2026 |
| South Carolina | $22.78 | -- | -- | 2024 |
| Vermont | $30.00 | -- | -- | 2026 |
| Washington | $21.98 | -- | -- | 2026 |
| Wisconsin | $22.51 | -- | -- | 2008 |
| West Virginia | $23.91 | -- | -- | 2026 |
| Wyoming | $31.99* | -- | -- | 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 92340?
36 state Medicaid programs publish a fee-for-service rate for 92340 (fitting of eyeglasses, single vision), ranging from $9.92 in North Carolina to $101.47 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92340?
Nebraska publishes the highest Medicaid rate for 92340 at $101.47. North Carolina publishes the lowest at $9.92.
Does 92340 require prior authorization under Medicaid?
No publishing state flags 92340 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.