The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full North Dakota vision schedule has 63 codes.
- Every code on all 51 published schedules
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Published codes
63
Vision procedures on the 2026 schedule
Median % of Medicare
111.7%
vs national Medicare, GPCI-neutral
PA required
15
codes flagged by the state
Common vision procedures and what North Dakota Medicaid pays
A curated sample of recognizable procedures from the 63-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 | North Dakota rate | % of Medicare |
|---|---|---|---|
| 92002 | Eye exam, new patient, intermediate | $95.00 | 112% |
| 92004 | Eye exam, new patient, comprehensive | $167.47 | 111.9% |
| 92012 | Eye exam, established patient, intermediate | $101.01 | 111.6% |
| 92014 | Eye exam, established patient, comprehensive | $142.31 | 111.8% |
| 92015 | Determination of eyeglass prescription (refraction) | $21.03 | -- |
| 92083 | Visual field examination, extended | $71.34 | 111.8% |
| 92134 | Retinal imaging (OCT scan) | $36.42 | 111.3% |
| 92250 | Photography of the back of the eye (fundus) | $41.30 | 111.4% |
| 92273 | Full-field electroretinography (ERG) | $137.81 | 111.8% |
| 92283 | Color vision examination, extended | $61.58 | 111.7% |
| 92340 | Fitting of eyeglasses, single vision | $39.80 | -- |
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 North Dakota Medicaid fee schedules
- North Dakota physician fee schedule · 6,704 codes
- North Dakota lab & imaging fee schedule · 2,143 codes
- North Dakota dme & supplies fee schedule · 1,542 codes
- North Dakota other services fee schedule · 221 codes
- North Dakota behavioral health fee schedule · 48 codes
- North Dakota hearing fee schedule · 38 codes
Vision rates in neighboring states
Frequently asked questions
What does North Dakota Medicaid pay for vision services and eyewear?
North Dakota Medicaid publishes 63 vision procedure rates effective 2026, paying a median 111.7% 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 North Dakota's vision rates compare with Medicare?
Across vision codes with a national Medicare comparator, North Dakota Medicaid pays a median 111.7% 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 North Dakota?
North Dakota publishes prior-authorization flags on its schedule: 15 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 North Dakota'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 North Dakota changes these rates.