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Billing code V2209 · Vision & hearing

V2209 Medicaid reimbursement rate by state (2026)

Spherocylinder, bifocal. Medicaid pays a median of $47.66 for V2209 across 36 states, from $4.86 in South Carolina to $103.98 in Delaware.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$47.66units vary by state
Lowest
$4.86South Carolina
Highest
$103.98Delaware
Answer

What does Medicaid pay for V2209?

36 state Medicaid programs publish a fee-for-service rate for V2209. The national median is $47.66 (units differ between states). Delaware pays the most, $103.98, and South Carolina the least, $4.86, a 21.4x spread.

State ranking

V2209 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-01-01$103.98——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$96.52——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$84.50unit—Plans must pay at least this—
18California Source · since 2026-10-01$49.81——Plans negotiate; applies out of network—
19Virginia Source · since 2022-07-01$45.50——Plans negotiate; applies out of network—
20Kentucky Source · since 2022-01-01$43.00——Plans negotiate; applies out of network—
35Vermont Source · since 2023-03-01$5.00——Not classified—
36South Carolina Source · since 2020-07-01$4.86——Not classified—
See all 36 states for V2209 — start free

28 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.

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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 V2209 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for V2209?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $47.66. Delaware pays the most ($103.98) and South Carolina the least ($4.86).

Which state pays the highest Medicaid rate for V2209?

Delaware, at $103.98, effective 2026-01-01.

Do managed-care plans pay the same rate for V2209?

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.