The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Minnesota vision schedule has 86 codes.
- Every code on all 51 published schedules
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Published codes
86
Vision procedures on the 2026 schedule
Median % of Medicare
77%
vs national Medicare, GPCI-neutral
PA required
0
+19 conditional or varies
Common vision procedures and what Minnesota Medicaid pays
A curated sample of recognizable procedures from the 86-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 | Minnesota rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $66.12 | 77.9% |
| 92004 | Eye exam, new patient, comprehensive | $116.29 | 77.7% |
| 92012 | Eye exam, established patient, intermediate | $70.24 | 77.6% |
| 92014 | Eye exam, established patient, comprehensive | $98.80 | 77.6% |
| 92015 | Determination of eyeglass prescription (refraction) | $14.40 | -- |
| 92083 | Visual field examination, extended | $49.65 | 77.8% |
| 92134 | Retinal imaging (OCT scan) | $25.21 | 77% |
| 92250 | Photography of the back of the eye (fundus) | $28.56 | 77% |
| 92273 | Full-field electroretinography (ERG) | $96.48 | 78.3% |
| 92283 | Color vision examination, extended | $42.96 | 78% |
| 92340 | Fitting of eyeglasses, single vision | $27.53 | -- |
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 Minnesota Medicaid fee schedules
- Minnesota physician fee schedule · 6,902 codes
- Minnesota lab & imaging fee schedule · 2,152 codes
- Minnesota dme & supplies fee schedule · 1,942 codes
- Minnesota drugs fee schedule · 884 codes
- Minnesota other services fee schedule · 356 codes
- Minnesota behavioral health fee schedule · 49 codes
Vision rates in neighboring states
Frequently asked questions
What does Minnesota Medicaid pay for vision services and eyewear?
Minnesota Medicaid publishes 86 vision procedure rates effective 2026, paying a median 77% 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 Minnesota's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, Minnesota Medicaid pays a median 77% 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 Minnesota?
Minnesota publishes prior-authorization flags on its schedule: 0 vision codes are marked as always requiring PA, and 19 more require it conditionally (after limits or under specific circumstances). Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Minnesota'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 Minnesota changes these rates.