How Much Does Medicaid Pay for Eyeglasses & Lenses?
Prescription eyeglass frames and lenses — single vision, bifocal, and trifocal — covered by Medicaid.
Service Eyeglasses & Lenses Year 2024 Codes 16
Medicaid eyeglasses & lenses reimbursement rates vary widely by state. In 2024, the average payment per claim ranged from $0.00 in Maine to $195.94 in Guam — a Infinityx difference.
54 states reported eyeglasses & lenses claims to HHS in 2024, covering 16 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
V2020 — Vision svcs frames purchasesV2025 — Eyeglasses delux framesV2100 — Lens spher single plano 4.00V2101 — Single visn sphere 4.12-7.00V2102 — Singl visn sphere 7.12-20.00V2103 — Spherocylindr 4.00d/12-2.00dV2104 — Spherocylindr 4.00d/2.12-4dV2105 — Spherocylinder 4.00d/4.25-6dV2106 — Spherocylinder 4.00d/>6.00dV2200 — Lens spher bifoc plano 4.00dV2201 — Lens sphere bifocal 4.12-7.0V2202 — Lens sphere bifocal 7.12-20.V2203 — Lens sphcyl bifocal 4.00d/.1V2300 — Lens sphere trifocal 4.00dV2302 — Lens sphere trifocal 7.12-20V2303 — Lens sphcy trifocal 4.0/.12-
Average Payment by State
| State | Value |
|---|---|
| Alabama | $17.48 |
| Alaska | $13.99 |
| Arizona | $31.87 |
| Arkansas | $27.61 |
| California | $13.12 |
| Colorado | $62.19 |
| Connecticut | $25.71 |
| Delaware | $34.68 |
| District of Columbia | $50.56 |
| Florida | $27.68 |
| Georgia | $19.57 |
| Guam | $195.94 |
| Hawaii | $13.13 |
| Idaho | $0.06 |
| Illinois | $22.30 |
| Indiana | $58.21 |
| Iowa | $21.94 |
| Kansas | $50.91 |
| Kentucky | $15.93 |
| Louisiana | $18.53 |
| Maine | $0.00 |
| Maryland | $21.07 |
| Massachusetts | $15.97 |
| Michigan | $16.39 |
| Minnesota | $34.74 |
| Mississippi | $27.92 |
| Missouri | $25.24 |
| Montana | $0.00 |
| Nebraska | $28.03 |
| Nevada | $27.00 |
| New Hampshire | $19.46 |
| New Jersey | $4.72 |
| New Mexico | $71.31 |
| New York | $23.21 |
| North Carolina | $9.29 |
| North Dakota | $47.29 |
| Ohio | $9.80 |
| Oklahoma | $17.15 |
| Oregon | $22.76 |
| Pennsylvania | $31.49 |
| Puerto Rico | $70.40 |
| Rhode Island | $28.18 |
| South Carolina | $32.66 |
| South Dakota | $59.83 |
| Tennessee | $11.33 |
| Texas | $25.13 |
| U.S. Virgin Islands | $70.28 |
| Utah | $33.30 |
| Vermont | $9.84 |
| Virginia | $54.35 |
| Washington | $9.60 |
| West Virginia | $45.89 |
| Wisconsin | $17.48 |
| Wyoming | $55.46 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $17.48 | 192,351 | $3,362,582.59 | 11 |
| Alaska | $13.99 | 47 | $657.36 | 2 |
| Arizona | $31.87 | 243,811 | $7,769,232.45 | 8 |
| Arkansas | $27.61 | 5,891 | $162,625.76 | 5 |
| California | $13.12 | 1,918,889 | $25,179,412.81 | 14 |
| Colorado | $62.19 | 268,997 | $16,728,912.92 | 11 |
| Connecticut | $25.71 | 245,508 | $6,311,981.99 | 12 |
| Delaware | $34.68 | 37,514 | $1,301,141.14 | 6 |
| District of Columbia | $50.56 | 11,062 | $559,322.01 | 8 |
| Florida | $27.68 | 408,198 | $11,300,612.15 | 12 |
| Georgia | $19.57 | 89,546 | $1,751,973.43 | 6 |
| Guam | $195.94 | 32 | $6,270.00 | 1 |
| Hawaii | $13.13 | 13,616 | $178,838.31 | 6 |
| Idaho | $0.06 | 4,410 | $247.00 | 3 |
| Illinois | $22.30 | 372,171 | $8,299,186.38 | 11 |
| Indiana | $58.21 | 311,485 | $18,130,308.15 | 12 |
| Iowa | $21.94 | 57,717 | $1,266,552.68 | 7 |
| Kansas | $50.91 | 75,681 | $3,852,703.78 | 8 |
| Kentucky | $15.93 | 461,082 | $7,345,676.56 | 10 |
| Louisiana | $18.53 | 422,060 | $7,819,380.64 | 9 |
| Maine | $0.00 | 71 | $0.00 | 1 |
| Maryland | $21.07 | 222,827 | $4,693,953.50 | 10 |
| Massachusetts | $15.97 | 222,423 | $3,552,320.82 | 7 |
| Michigan | $16.39 | 396,584 | $6,501,975.81 | 13 |
| Minnesota | $34.74 | 200,550 | $6,966,388.84 | 11 |
| Mississippi | $27.92 | 125,742 | $3,510,790.57 | 8 |
| Missouri | $25.24 | 107,828 | $2,721,065.23 | 9 |
| Montana | $0.00 | 17 | $0.00 | 1 |
| Nebraska | $28.03 | 64,057 | $1,795,265.33 | 7 |
| Nevada | $27.00 | 168,448 | $4,548,096.50 | 10 |
| New Hampshire | $19.46 | 21,424 | $416,893.90 | 7 |
| New Jersey | $4.72 | 533,537 | $2,517,132.85 | 11 |
| New Mexico | $71.31 | 80,907 | $5,769,343.48 | 9 |
| New York | $23.21 | 1,098,677 | $25,500,043.41 | 14 |
| North Carolina | $9.29 | 506,853 | $4,707,221.78 | 8 |
| North Dakota | $47.29 | 112 | $5,296.50 | 2 |
| Ohio | $9.80 | 2,070,436 | $20,299,703.35 | 15 |
| Oklahoma | $17.15 | 120,278 | $2,063,087.36 | 7 |
| Oregon | $22.76 | 110,777 | $2,520,906.87 | 10 |
| Pennsylvania | $31.49 | 713,974 | $22,485,127.54 | 12 |
| Puerto Rico | $70.40 | 7,501 | $528,079.70 | 3 |
| Rhode Island | $28.18 | 65,022 | $1,832,483.76 | 9 |
| South Carolina | $32.66 | 60,626 | $1,979,953.82 | 7 |
| South Dakota | $59.83 | 28,205 | $1,687,542.46 | 4 |
| Tennessee | $11.33 | 256,626 | $2,907,175.85 | 8 |
| Texas | $25.13 | 764,385 | $19,211,544.78 | 12 |
| U.S. Virgin Islands | $70.28 | 5,773 | $405,702.50 | 4 |
| Utah | $33.30 | 11,545 | $384,461.20 | 5 |
| Vermont | $9.84 | 12 | $118.08 | 1 |
| Virginia | $54.35 | 134,833 | $7,327,529.16 | 7 |
| Washington | $9.60 | 211,806 | $2,033,571.03 | 11 |
| West Virginia | $45.89 | 40,906 | $1,876,976.30 | 5 |
| Wisconsin | $17.48 | 81,306 | $1,421,391.53 | 9 |
| Wyoming | $55.46 | 4,016 | $222,738.69 | 3 |