The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Kentucky vision schedule has 152 codes.
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Published codes
152
Vision procedures on the 2026 schedule
Median % of Medicare
60.9%
vs national Medicare, GPCI-neutral
PA required
1
codes flagged by the state
Common vision procedures and what Kentucky Medicaid pays
A curated sample of recognizable procedures from the 152-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Kentucky rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $51.67 | 60.9% |
| 92004 | Eye exam, new patient, comprehensive | $94.51 | 63.2% |
| 92012 | Eye exam, established patient, intermediate | $46.92 | 51.8% |
| 92014 | Eye exam, established patient, comprehensive | $69.80 | 54.9% |
| 92015 | Determination of eyeglass prescription (refraction) | $20.22 | -- |
| 92083 | Visual field examination, extended | $55.27 | 86.6% |
| 92134 | Retinal imaging (OCT scan) | $38.87 | 118.8% |
| 92250 | Photography of the back of the eye (fundus) | $49.01 | 132.2% |
| 92273 | Full-field electroretinography (ERG) | $101.11 | 82% |
| 92283 | Color vision examination, extended | $15.65 | 28.4% |
| 92340 | Fitting of eyeglasses, single vision | $33.00 | -- |
| V2020 | Frames, purchases | $50.00 | 56.5% |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $50.00 | 91.8% |
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 * show the schedule's representative published variant.
More Kentucky Medicaid fee schedules
- Kentucky physician fee schedule · 7,029 codes
- Kentucky lab & imaging fee schedule · 2,645 codes
- Kentucky dme & supplies fee schedule · 1,815 codes
- Kentucky other services fee schedule · 524 codes
- Kentucky drugs fee schedule · 505 codes
- Kentucky behavioral health fee schedule · 48 codes
Vision rates in neighboring states
Frequently asked questions
What does Kentucky Medicaid pay for vision services and eyewear?
Kentucky Medicaid publishes 152 vision procedure rates effective 2026, paying a median 60.9% of the national Medicare amount for the same services. The schedule covers eye exams, refractions, frames, and lenses. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Kentucky's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Kentucky Medicaid pays a median 60.9% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do vision services need prior authorization in Kentucky?
Kentucky publishes prior-authorization flags on its schedule: 1 vision codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Kentucky's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Kentucky changes these rates.