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Billing code V2101 · Vision & hearing

V2101 Medicaid reimbursement rate by state (2026)

Sphere, single vision. Medicaid pays a median of $33.69 for V2101 across 37 states, from $2.00 in Vermont to $75.44 in New Mexico.

Data as of Oct 5, 202637 statesEvery rate links to its official source

States publishing
37
National median
$33.69units vary by state
Lowest
$2.00Vermont
Highest
$75.44New Mexico
Answer

What does Medicaid pay for V2101?

37 state Medicaid programs publish a fee-for-service rate for V2101. The national median is $33.69 (units differ between states). New Mexico pays the most, $75.44, and Vermont the least, $2.00, a 37.7x spread.

State ranking

V2101 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
1New Mexico Source · since 2023-07-01$75.44——Plans must pay at least this—
2Hawaii Source · since 2026-06-01$71.43——Plans negotiate; applies out of network—
3Delaware Source · since 2026-01-01$61.74——Plans negotiate; applies out of network—
18Massachusetts Source · since 2025-02-14$35.14——Plans negotiate; applies out of network—
19Texas Source · since 2026-09-01$33.69——Plans negotiate; applies out of network—
20Rhode Island Source · since 2012-06-01$30.34——Plans negotiate; applies out of network—
36Illinois Source · since 2019-12-03$6.22——Plans negotiate; applies out of network—
37Vermont Source · since 2023-03-01$2.00——Not classified—
See all 37 states for V2101 — 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.

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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 V2101 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 V2101?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $33.69. New Mexico pays the most ($75.44) and Vermont the least ($2.00).

Which state pays the highest Medicaid rate for V2101?

New Mexico, at $75.44, effective 2023-07-01.

Do managed-care plans pay the same rate for V2101?

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.