92288 Medicaid reimbursement rate by state (2026)

• Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for 92288, so the order is by published amount and is not a like-for-like rank.
• Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 12 of the 15 states list more than one rate for 92288, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
• Unit. Of the 15 states, 1 publish 92288 per percent of billed charges, and 14 schedules print no unit at all (a flat amount per service).
• Per hour. 92288 is not billed in time units in these states, so no hourly figure is shown.
• Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
• % of Medicare. No Medicare physician fee schedule amount is on file for 92288, so there is no percentage.
• Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.

Published rates for 92288 run from $0.59 in Colorado to $40.00 in Indiana. The two publish it in different units (percent of billed charges versus no unit printed), so part of that gap is the unit rather than the price. Half the states pay more than the median of $18.45 and half pay less. The usual reasons for a spread like this in vision & hearing rates:

• Hearing aids and some lenses are priced at invoice or acquisition cost in some states and at a fixed fee in others.
• Adult vision and hearing benefits are optional for states, so coverage, limits and fees vary widely.
• Some states buy eyeglasses through a single contracted laboratory, which changes what a provider is paid for the materials.

Timing matters too. 15 states set the current rate for 92288 in 2026 or later. A state that has not updated its rate in years will drift down the ranking as others raise theirs.

What a plan pays for 92288 is negotiated privately, but the state decides how much room there is to negotiate. Here is how the rules break down across the 15 states.

In 2 states, the published rate binds plans: a floor, a pass-through or a state-set rate. In 11 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 2 states is not classified yet.

• Plans negotiate; the published rate applies out of network (11 states). In-network rates can be above or below the published rate. The published rate is the benchmark both sides know, and the fallback if no contract is signed.
• Plans must pay at least the published rate (2 states). The published rate is your floor. Negotiate up from it, and if a plan pays less, the contract provision is the basis for a payment dispute.

Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example Indiana managed care.

92288 is a CPT medicine code in the vision & hearing line, billed mostly by optometrists, opticians, audiologists and hearing aid dispensers. The medicine section runs from vaccines and psychiatry to dialysis, cardiology and therapy. Some of its codes are timed in 15-minute units, others are billed once per session or per test, so the unit matters more here than in most sections.

Vision and hearing materials are billed per item, per lens or per device, and hearing aids per ear (monaural or binaural).

Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.