How Much Does Medicaid Pay for Eye Exams & Vision Services?
Ophthalmologic examinations and vision screening services covered by Medicaid.
Service Eye Exams & Vision Services Year 2024 Codes 6
Medicaid eye exams & vision services reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $17.93 in California to $161.82 in Alaska — a 9.0x difference.
54 states reported eye exams & vision services claims to HHS in 2024, covering 6 procedure codes. The data below is based on official Medicaid claims records published by the U.S. Department of Health and Human Services.
Included Procedure Codes
Average Payment by State
| State | Value |
|---|---|
| Alabama | $42.87 |
| Alaska | $161.82 |
| Arizona | $61.75 |
| Arkansas | $37.87 |
| California | $17.93 |
| Colorado | $57.88 |
| Connecticut | $35.25 |
| Delaware | $35.05 |
| District of Columbia | $47.35 |
| Florida | $31.28 |
| Georgia | $28.40 |
| Guam | $54.64 |
| Hawaii | $35.22 |
| Idaho | $49.78 |
| Illinois | $30.19 |
| Indiana | $53.38 |
| Iowa | $39.06 |
| Kansas | $29.39 |
| Kentucky | $44.01 |
| Louisiana | $40.48 |
| Maine | $37.84 |
| Maryland | $32.97 |
| Massachusetts | $43.25 |
| Michigan | $36.64 |
| Minnesota | $48.66 |
| Mississippi | $46.06 |
| Missouri | $36.80 |
| Montana | $52.44 |
| Nebraska | $34.78 |
| Nevada | $37.03 |
| New Hampshire | $36.77 |
| New Jersey | $20.53 |
| New Mexico | $78.28 |
| New York | $53.90 |
| North Carolina | $33.67 |
| North Dakota | $45.62 |
| Ohio | $24.28 |
| Oklahoma | $61.06 |
| Oregon | $53.58 |
| Pennsylvania | $30.83 |
| Puerto Rico | $47.98 |
| Rhode Island | $43.17 |
| South Carolina | $40.68 |
| South Dakota | $60.61 |
| Tennessee | $38.30 |
| Texas | $48.87 |
| U.S. Virgin Islands | $45.92 |
| Utah | $56.22 |
| Vermont | $37.73 |
| Virginia | $46.50 |
| Washington | $21.28 |
| West Virginia | $43.77 |
| Wisconsin | $21.51 |
| Wyoming | $45.64 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $42.87 | 242,474 | $10,394,876.42 | 6 |
| Alaska | $161.82 | 64,216 | $10,391,139.06 | 6 |
| Arizona | $61.75 | 277,462 | $17,133,812.57 | 6 |
| Arkansas | $37.87 | 114,719 | $4,344,945.26 | 6 |
| California | $17.93 | 3,256,347 | $58,373,238.01 | 6 |
| Colorado | $57.88 | 334,148 | $19,339,877.92 | 6 |
| Connecticut | $35.25 | 520,726 | $18,353,889.95 | 6 |
| Delaware | $35.05 | 24,225 | $848,996.04 | 5 |
| District of Columbia | $47.35 | 24,586 | $1,164,251.94 | 6 |
| Florida | $31.28 | 647,831 | $20,262,469.09 | 6 |
| Georgia | $28.40 | 47,248 | $1,341,734.49 | 5 |
| Guam | $54.64 | 2,161 | $118,069.92 | 5 |
| Hawaii | $35.22 | 64,458 | $2,270,307.18 | 6 |
| Idaho | $49.78 | 50,146 | $2,496,167.56 | 5 |
| Illinois | $30.19 | 861,878 | $26,016,795.57 | 6 |
| Indiana | $53.38 | 470,891 | $25,137,784.50 | 6 |
| Iowa | $39.06 | 117,511 | $4,589,417.71 | 6 |
| Kansas | $29.39 | 110,187 | $3,238,727.45 | 6 |
| Kentucky | $44.01 | 443,410 | $19,513,569.99 | 6 |
| Louisiana | $40.48 | 511,796 | $20,715,937.09 | 6 |
| Maine | $37.84 | 90,957 | $3,442,032.39 | 6 |
| Maryland | $32.97 | 293,992 | $9,693,132.11 | 6 |
| Massachusetts | $43.25 | 480,130 | $20,766,537.93 | 6 |
| Michigan | $36.64 | 309,757 | $11,348,269.82 | 6 |
| Minnesota | $48.66 | 388,436 | $18,902,278.36 | 6 |
| Mississippi | $46.06 | 173,618 | $7,996,692.74 | 6 |
| Missouri | $36.80 | 194,928 | $7,173,563.70 | 6 |
| Montana | $52.44 | 73,713 | $3,865,666.32 | 5 |
| Nebraska | $34.78 | 120,280 | $4,183,667.43 | 6 |
| Nevada | $37.03 | 130,884 | $4,846,011.44 | 6 |
| New Hampshire | $36.77 | 44,265 | $1,627,731.82 | 5 |
| New Jersey | $20.53 | 658,519 | $13,516,318.46 | 6 |
| New Mexico | $78.28 | 170,749 | $13,366,092.23 | 6 |
| New York | $53.90 | 1,585,964 | $85,478,969.88 | 6 |
| North Carolina | $33.67 | 62,126 | $2,091,999.55 | 6 |
| North Dakota | $45.62 | 26,544 | $1,210,806.56 | 6 |
| Ohio | $24.28 | 527,684 | $12,811,128.23 | 6 |
| Oklahoma | $61.06 | 189,067 | $11,545,233.04 | 6 |
| Oregon | $53.58 | 177,103 | $9,488,689.37 | 6 |
| Pennsylvania | $30.83 | 466,751 | $14,392,175.61 | 6 |
| Puerto Rico | $47.98 | 282,968 | $13,577,406.14 | 6 |
| Rhode Island | $43.17 | 38,479 | $1,661,093.30 | 5 |
| South Carolina | $40.68 | 167,224 | $6,801,901.74 | 6 |
| South Dakota | $60.61 | 67,222 | $4,074,350.42 | 6 |
| Tennessee | $38.30 | 382,999 | $14,669,493.44 | 6 |
| Texas | $48.87 | 469,745 | $22,955,878.95 | 6 |
| U.S. Virgin Islands | $45.92 | 1,522 | $69,897.10 | 5 |
| Utah | $56.22 | 46,102 | $2,592,021.68 | 6 |
| Vermont | $37.73 | 30,195 | $1,139,382.21 | 6 |
| Virginia | $46.50 | 336,632 | $15,652,129.82 | 6 |
| Washington | $21.28 | 320,849 | $6,828,045.09 | 5 |
| West Virginia | $43.77 | 61,123 | $2,675,477.46 | 6 |
| Wisconsin | $21.51 | 206,992 | $4,452,115.53 | 6 |
| Wyoming | $45.64 | 12,747 | $581,817.26 | 6 |