The Rates plan
$29/mo7-day free trialState 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
$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
| State | Published codes | Median % of Medicare | PA-required codes | Vintage |
|---|---|---|---|---|
| Alaska | 56 | 166% | -- | 2026 |
| Alabama | 61 | 70.2% | -- | 2026 |
| Arkansas | 52 | 82.7% | -- | 2026 |
| Arizona | 169 | 100.2% | -- | 2026 |
| California | 128 | 47.9% | -- | 2026 |
| Colorado | 167 | 77.9% | 2 | 2026 |
| Connecticut | 146 | 47.5% | -- | 2026 |
| District of Columbia | 160 | 90.5% | 96 | 2026 |
| Delaware | 129 | 100.2% | -- | 2026 |
| Florida | 24 | 50.3% | -- | 2026 |
| Georgia | 43 | 83.5% | -- | 2026 |
| Hawaii | 163 | 57.4% | -- | 2025 |
| Iowa | 155 | 49.6% | -- | 2024 |
| Idaho | 146 | 81.5% | 33 | 2026 |
| Illinois | 82 | 30.9% | -- | 2026 |
| Indiana | 149 | 93.1% | 1 | 2026 |
| Kansas | 135 | 71.7% | -- | 2026 |
| Kentucky | 152 | 60.9% | 1 | 2026 |
| Louisiana | 43 | 81.8% | -- | 2026 |
| Massachusetts | 149 | 71.2% | -- | 2026 |
| Maryland | 7 | 75.4% | 1 | 2026 |
| Maine | 75 | 68.2% | -- | 2026 |
| Michigan | 137 | 28.4% | -- | 2026 |
| Minnesota | 86 | 77% | -- | 2026 |
| Missouri | 147 | 67.6% | 97 | 2026 |
| Mississippi | 142 | 36.1% | -- | 2026 |
| Montana | 145 | 33.7% | 4 | 2026 |
| North Carolina | 47 | 68.5% | -- | 2026 |
| North Dakota | 63 | 111.7% | 15 | 2026 |
| Nebraska | 123 | 48.6% | -- | 2026 |
| New Hampshire | 153 | 18.3% | 32 | 2026 |
| New Jersey | 136 | 74.5% | 39 | 2026 |
| New Mexico | 89 | 132.9% | -- | 2026 |
| Nevada | 164 | 86.6% | -- | 2024 |
| New York | 99 | 49.7% | -- | 2026 |
| Ohio | 163 | 69.8% | -- | 2026 |
| Oklahoma | 136 | 50.1% | -- | 2026 |
| Oregon | 51 | 81.3% | -- | 2026 |
| Pennsylvania | 40 | 92% | -- | 2026 |
| Rhode Island | 53 | 179.6% | -- | 2026 |
| South Carolina | 113 | 54.3% | -- | 2026 |
| Texas | 143 | 49.7% | -- | 2025 |
| Utah | 122 | 74.3% | 10 | 2026 |
| Virginia | 121 | 86.6% | -- | 2026 |
| Vermont | 150 | 34% | 4 | 2026 |
| Washington | 66 | 61.6% | -- | 2026 |
| Wisconsin | 144 | 18.7% | -- | 2025 |
| West Virginia | 66 | 66.4% | -- | 2026 |
| Wyoming | 141 | 67.8% | 12 | 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. "--" 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.