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V2111 Medicaid reimbursement rate by state (2026)

Spherocylinder, single vision. Medicaid pays a median of $36.32 for V2111 across 36 states, from $2.00 in Vermont to $82.83 in Hawaii.

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

States publishing
36
National median
$36.32units vary by state
Lowest
$2.00Vermont
Highest
$82.83Hawaii

What does Medicaid pay for V2111?

36 state Medicaid programs publish a fee-for-service rate for V2111 at the physician psychologist level. The national median is $36.32 (units differ between states). Hawaii pays the most, $82.83, and Vermont the least, $2.00, a 41.4x spread.

V2111 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
1Hawaii Source · since 2026-06-01$82.83——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$81.87——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$77.66unit—Plans must pay at least this—
18Rhode Island Source · since 2012-06-01$37.49——Plans negotiate; applies out of network—
19Texas Source · since 2026-09-01$35.14——Plans negotiate; applies out of network—
20Connecticut Source · since 2008-07-01$34.09——Not classified—
35Illinois Source · since 2019-12-03$6.22——Plans negotiate; applies out of network—
36Vermont Source · since 2023-03-01$2.00——Not classified—
See all 36 states for V2111 — 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.

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 V2111 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 V2111?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $36.32. Hawaii pays the most ($82.83) and Vermont the least ($2.00).

Which state pays the highest Medicaid rate for V2111?

Hawaii, at $82.83, effective 2026-06-01.

Do managed-care plans pay the same rate for V2111?

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.