Medicaid Vision Fee Schedules by State

49 states publish Medicaid vision fee schedules. Nationally, the median published rate runs 72.4% of the Medicare amount for the same code, ranging from 18.3% (New Hampshire) to 166% (Alaska).

Every state, kept current

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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
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Publishing states

49

Distinct procedure codes

200

National median % of Medicare

72.4%

Every state's vision schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alaska56166%--2026
Alabama6170.2%--2026
Arkansas5282.7%--2026
Arizona16599.4%--2026
California12847.9%--2026
Colorado16777.9%22026
Connecticut14647.5%--2026
District of Columbia16090.5%962026
Delaware129100.2%--2026
Florida11928%32026
Georgia4383.5%--2026
Hawaii16357.4%--2025
Iowa15549.6%--2024
Idaho14681.5%332026
Illinois8230.9%--2026
Indiana14993.2%12026
Kansas13571.7%--2026
Kentucky15260.9%12026
Louisiana13552.3%--2026
Massachusetts14971.2%--2026
Maryland775.4%12026
Maine7568.2%--2026
Michigan12950.4%--2026
Minnesota8677%--2026
Missouri14767.5%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 Mexico89133.4%--2026
Nevada16486.6%--2024
New York9949.7%--2026
Ohio16369.8%--2026
Oklahoma13650.1%--2026
Oregon5181.3%--2026
Pennsylvania4092%--2026
Rhode Island53----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.

Browse by code

Every vision code priced by ten or more state Medicaid programs, grouped by code number, each with its state count and median rate. Vision codes by number

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, Alaska pays the most (166% 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.