The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for V2020. 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
$29/mo after the trial. Cancel anytime.
Publishing states
33
Median % of Medicare
55.5%
Rate range
$3.00 - $118.38
V2020 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $95.32 | 107.8% | -- | 2026 |
| California | $21.31 | 24.1% | -- | 2026 |
| Colorado | $69.58 | 78.7% | -- | 2026 |
| Connecticut | $29.92 | 33.8% | -- | 2008 |
| District of Columbia | $61.41 | 69.4% | Required | 2026 |
| Delaware | $76.76 | 86.8% | -- | 2026 |
| Hawaii | $20.12 | 22.7% | -- | 2025 |
| Iowa | $21.76 | 24.6% | -- | 2024 |
| Idaho | $75.00 | 84.8% | Not required | 2026 |
| Illinois | $9.36 | 10.6% | -- | 2026 |
| Indiana | $90.29 | 102.1% | -- | 2026 |
| Kansas | $64.70 | 73.1% | -- | 2026 |
| Kentucky | $50.00 | 56.5% | -- | 2026 |
| Massachusetts | $60.30 | 68.2% | -- | 2025 |
| Michigan | $31.90 | 36.1% | -- | 2023 |
| Missouri | $59.01 | 66.7% | Required | 2022 |
| Mississippi | $36.73 | 41.5% | -- | 1994 |
| Montana | $14.00 | 15.8% | -- | 2024 |
| Nebraska | $49.05 | 55.5% | -- | 2026 |
| New Hampshire | $7.00 | 7.9% | Not required | 2026 |
| New Jersey | $53.73 | 60.7% | Not required | 2026 |
| New Mexico | $118.38 | 133.8% | -- | 2025 |
| Nevada | $83.36 | 94.2% | -- | 2024 |
| New York | $6.06 | 6.9% | -- | 2026 |
| Oklahoma | $10.00 | 11.3% | -- | 2020 |
| Pennsylvania | $7.00 | 7.9% | -- | 2008 |
| South Carolina | $52.50 | 59.4% | -- | 2020 |
| Texas | $38.46* | 43.5% | -- | 2024 |
| Utah | $64.37* | 72.8% | Not required | 2026 |
| Virginia | $45.50 | 51.4% | -- | 2022 |
| Vermont | $3.00 | 3.4% | -- | 2026 |
| Wisconsin | $5.79 | 6.5% | -- | 2025 |
| Wyoming | $71.65* | 81% | -- | 2021 |
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 V2020?
33 state Medicaid programs publish a fee-for-service rate for V2020 (frames, purchases), ranging from $3.00 in Vermont to $118.38 in New Mexico, with a median of 55.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for V2020?
New Mexico publishes the highest Medicaid rate for V2020 at $118.38 (133.8% of the national Medicare amount). Vermont publishes the lowest at $3.00.
Does V2020 require prior authorization under Medicaid?
2 of the 33 publishing states flag V2020 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".