92083 Medicaid reimbursement rates by state

Eye exams and vision services. 25 state Medicaid programs publish a fee-for-service rate for 92083 at the physician psychologist level. Rates run from $19.15 in Wisconsin to $65.86 in Arizona, with a median of $29.33.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing: 25
Median rate: $29.33units vary by state
Highest: $65.86Arizona
Medicare (non-facility): $57.33–$85.952026 physician fee schedule

92083 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare	Source
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)	$65.86since 2026-10-01	—	—	Plans negotiate; applies out of network	—	AHCCCS Arizona Health Care Cost Containm
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)	$55.27since 2020-01-01	—	—	Plans negotiate; applies out of network	—	KY Medicaid Physician fee schedule (2020
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)	$54.84since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Nebraska Medicaid fee schedule 471-000-5
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)	$39.83since 2024-04-01	—	—	Plans negotiate; applies out of network	—	HFS Practitioner Fee Schedule (effective
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)	$33.49since 2026-01-01	—	—	Not classified	—	Maryland Medicaid Professional Services
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)	$32.69since 2026-07-01	—	—	Not classified	—	NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)	$32.66since 2026-01-01	unit	—	Plans must pay at least this	—	IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)	$32.41since 2026-07-01	—	—	Plans negotiate; applies out of network	—	DMAS procedure fee file cptmedical4.csv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)	$30.99since 2024-01-01	—	—	Plans negotiate; applies out of network	—	Appendix DD to OAC 5160-1-60 (Non-Instit
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)	$30.38since 2026-07-01	—	—	Plans negotiate; applies out of network	—	Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)	$29.84since 2019-07-01	—	—	Plans negotiate; applies out of network	—	MO HealthNet fee schedule: Radiology - T
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)	$29.64since 2017-01-01	—	—	Plans negotiate; applies out of network	—	Physician Maximum Allowed Fee Schedule -
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)	$29.33since 2026-02-01	—	—	Plans negotiate; applies out of network	—	MHCP Fee Schedule - Current Fee Schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)	$29.10since 2026-01-01	—	—	Plans negotiate; applies out of network	—	Practitioner Fee Schedule (2026-01-01)
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)	$28.91since 2020-12-21	—	—	Plans negotiate; applies out of network	—	PA DHS PROMISe Outpatient Fee Schedule (
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)	$28.78since 2026-01-01	—	—	Plans must pay at least this	—	Louisiana Medicaid Enhanced Professional
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)	$28.63since 2016-01-01	—	—	Plans negotiate; applies out of network	—	TMHP Texas Medicaid Fee Schedule - Physi
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)	$28.59since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Emergency Adoption (date filed: Septembe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)	$24.86since 2024-07-01	—	—	Not classified	—	SCDHHS Pediatric Subspecialty and Neonat
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)	$23.86since 2026-01-01	—	—	Plans negotiate; applies out of network	—	MDHHS Vision Fee Schedule database, Janu
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service	$23.51since 2026-07-01	—	—	Plans negotiate; applies out of network	—	HCA Physician-related services fee sched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)	$22.14since 2026-10-01	—	—	Plans negotiate; applies out of network	—	Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)	$21.10since 2025-10-01	—	—	Plans must pay at least this	—	NC Medicaid fee schedule 'Nurse Practiti
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)	$20.26since 2023-01-01	unit	—	Plans negotiate; applies out of network	—	eMedNY Physician Fee Schedule Sect 2 (Me
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)	$19.15since 2008-07-01	—	—	Plans negotiate; applies out of network	—	ForwardHealth max fee schedule: Medical-

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 92083?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $29.33. Arizona pays the most ($65.86) and Wisconsin the least ($19.15).

Which state pays the highest Medicaid rate for 92083?

Arizona, at $65.86, effective 2026-10-01.

Do managed-care plans pay the same rate for 92083?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

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