Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for V2511. 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
26
Median % of Medicare
73.5%
Rate range
$42.78 - $260.84
V2511 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $217.84 | 95% | -- | 2026 |
| California | $143.27 | 62.5% | -- | 2026 |
| Colorado | $153.09 | 66.8% | -- | 2026 |
| Connecticut | $73.70 | 32.1% | -- | 2008 |
| District of Columbia | $186.06 | 81.2% | Required | 2026 |
| Delaware | $232.57 | 101.4% | -- | 2026 |
| Hawaii | $123.49 | 53.9% | -- | 2025 |
| Iowa | $191.06 | 83.3% | -- | 2024 |
| Idaho | $168.62 | 73.5% | Required | 2026 |
| Indiana | $218.26 | 95.2% | -- | 2026 |
| Kansas | $191.65 | 83.6% | -- | 2026 |
| Kentucky | $121.44 | 53% | -- | 2026 |
| Louisiana | $166.12 | 72.5% | -- | 2026 |
| Massachusetts | $180.96 | 78.9% | -- | 2025 |
| Michigan | $181.00 | 78.9% | -- | 2026 |
| Minnesota | $70.46 | 30.7% | Conditional | 2002 |
| Missouri | $174.81* | 76.2% | Required | 2022 |
| Mississippi | $73.71 | 32.2% | -- | 1994 |
| New Jersey | $182.16 | 79.5% | Required | 2026 |
| New Mexico | $260.84 | 113.8% | -- | 2023 |
| Nevada | $190.51 | 83.1% | -- | 2024 |
| Ohio | $87.75 | 38.3% | -- | 2024 |
| Oklahoma | $110.68 | 48.3% | -- | 2020 |
| South Carolina | $42.78 | 18.7% | -- | 2020 |
| Texas | $108.68* | 47.4% | -- | 2024 |
| Vermont | $162.50 | 70.9% | -- | 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)
All 101 codes from V2020 to V2784 or every vision code by number.
Frequently asked questions
How much does Medicaid pay for V2511?
26 state Medicaid programs publish a fee-for-service rate for V2511 (contact lens, gas permeable, toric, prism ballast, per lens), ranging from $42.78 in South Carolina to $260.84 in New Mexico, with a median of 73.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for V2511?
New Mexico publishes the highest Medicaid rate for V2511 at $260.84 (113.8% of the national Medicare amount). South Carolina publishes the lowest at $42.78.
Does V2511 require prior authorization under Medicaid?
5 of the 26 publishing states flag V2511 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".