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V2205 Medicaid reimbursement rate by state (2026)

Spherocylinder, bifocal. Medicaid pays a median of $45.31 for V2205 across 37 states, from $5.00 in Vermont to $95.43 in Delaware.

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

States publishing
37
National median
$45.31units vary by state
Lowest
$5.00Vermont
Highest
$95.43Delaware

What does Medicaid pay for V2205?

37 state Medicaid programs publish a fee-for-service rate for V2205 at the physician psychologist level. The national median is $45.31 (units differ between states). Delaware pays the most, $95.43, and Vermont the least, $5.00, a 19.1x spread.

V2205 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
1Delaware Source · since 2026-01-01$95.43——Plans negotiate; applies out of network—
2New Mexico Source · since 2023-07-01$84.65——Plans must pay at least this—
3Hawaii Source · since 2026-06-01$83.80——Plans negotiate; applies out of network—
18Virginia Source · since 2022-07-01$45.50——Plans negotiate; applies out of network—
19Rhode Island Source · since 2012-06-01$45.31——Plans negotiate; applies out of network—
20California Source · since 2026-10-01$43.91——Plans negotiate; applies out of network—
36Wisconsin Source · since 2025-09-01$6.30——Plans negotiate; applies out of network—
37Vermont Source · since 2023-03-01$5.00——Not classified—
See all 37 states for V2205 — 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 V2205 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 V2205?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $45.31. Delaware pays the most ($95.43) and Vermont the least ($5.00).

Which state pays the highest Medicaid rate for V2205?

Delaware, at $95.43, effective 2026-01-01.

Do managed-care plans pay the same rate for V2205?

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.