Medicaid Vision Fee Schedules by State

49 states publish Medicaid vision fee schedules. Nationally, the median published rate runs 73.5% of the Medicare amount for the same code, ranging from 18.3% (New Hampshire) to 179.6% (Rhode Island).

The Rates plan

$29/mo7-day free trial

State pages show common-procedure samples. Full all-codes vision schedules for every state come with the Rates plan.

  • 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
Start 7-day free trial

$29/mo after the trial. Cancel anytime.

Publishing states

49

Distinct procedure codes

200

National median % of Medicare

73.5%

Every state's vision schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alaska56166%--2026
Alabama6170.2%--2026
Arkansas5282.7%--2026
Arizona169100.2%--2026
California12847.9%--2026
Colorado16777.9%22026
Connecticut14647.5%--2026
District of Columbia16090.5%962026
Delaware129100.2%--2026
Florida2450.3%--2026
Georgia4383.5%--2026
Hawaii16357.4%--2025
Iowa15549.6%--2024
Idaho14681.5%332026
Illinois8230.9%--2026
Indiana14993.1%12026
Kansas13571.7%--2026
Kentucky15260.9%12026
Louisiana4381.8%--2026
Massachusetts14971.2%--2026
Maryland775.4%12026
Maine7568.2%--2026
Michigan13728.4%--2026
Minnesota8677%--2026
Missouri14767.6%972026
Mississippi14236.1%--2026
Montana14533.7%42026
North Carolina4768.5%--2026
North Dakota63111.7%152026
Nebraska12348.6%--2026
New Hampshire15318.3%322026
New Jersey13674.5%392026
New Mexico89132.9%--2026
Nevada16486.6%--2024
New York9949.7%--2026
Ohio16369.8%--2026
Oklahoma13650.1%--2026
Oregon5181.3%--2026
Pennsylvania4092%--2026
Rhode Island53179.6%--2026
South Carolina11354.3%--2026
Texas14349.7%--2025
Utah12274.3%102026
Virginia12186.6%--2026
Vermont15034%42026
Washington6661.6%--2026
Wisconsin14418.7%--2025
West Virginia6666.4%--2026
Wyoming14167.8%122026

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. "--" in the PA column means the state publishes no prior-authorization flags on this schedule.

Other Medicaid fee-schedule categories

Frequently asked questions

Which states pay the most for Medicaid vision services?

Measured as a median percentage of the national Medicare amount, Rhode Island pays the most (179.6% of Medicare) and New Hampshire the least (18.3%) among states with comparable codes. The full ranking is in the table on this page; individual procedures vary widely within every state.

What do these Medicaid vision fee schedules cover?

Published fee-for-service rates for vision services and eyewear: eye exams, refractions, frames, and lenses. Each state page lists common procedures with plain-language descriptions and the state's published rate; the complete all-codes schedules are available with a ProviderSignal Rates subscription.

How current are these rates?

Rates come from each state's currently published Medicaid fee schedule and are re-collected on a rolling schedule; pages update automatically after each collection. Most states' schedules on this page are effective 2026.