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V2201 Medicaid reimbursement rate by state (2026)

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d. Medicaid pays a median of $43.46 for V2201 across 37 states, from $5.00 in Vermont to $95.60 in Hawaii.

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

States publishing
37
National median
$43.46units vary by state
Lowest
$5.00Vermont
Highest
$95.60Hawaii

What does Medicaid pay for V2201?

37 state Medicaid programs publish a fee-for-service rate for V2201 at the physician psychologist level. The national median is $43.46 (units differ between states). Hawaii pays the most, $95.60, and Vermont the least, $5.00, a 19.1x spread.

V2201 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$95.60——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$88.83——Plans negotiate; applies out of network—
3New Mexico Source · since 2023-07-01$85.49——Plans must pay at least this—
18Virginia Source · since 2022-07-01$45.50——Plans negotiate; applies out of network—
19Rhode Island Source · since 2012-06-01$43.46——Plans negotiate; applies out of network—
20Kentucky Source · since 2022-01-01$43.00——Plans negotiate; applies out of network—
36New Hampshire Source · since 2025-07-01$7.50——Plans negotiate; applies out of network—
37Vermont Source · since 2023-03-01$5.00——Not classified—
See all 37 states for V2201 — start free

29 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track V2201 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for V2201?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $43.46. Hawaii pays the most ($95.60) and Vermont the least ($5.00).

Which state pays the highest Medicaid rate for V2201?

Hawaii, at $95.60, effective 2026-06-01.

Do managed-care plans pay the same rate for V2201?

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 workspace shows the rule for each state, cited to the contract or statute.