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V2213 Medicaid reimbursement rate by state (2026)

Spherocylinder, bifocal. Medicaid pays a median of $51.13 for V2213 across 36 states, from $4.86 in South Carolina to $110.96 in Hawaii.

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

States publishing
36
National median
$51.13units vary by state
Lowest
$4.86South Carolina
Highest
$110.96Hawaii

What does Medicaid pay for V2213?

36 state Medicaid programs publish a fee-for-service rate for V2213 at the physician psychologist level. The national median is $51.13 (units differ between states). Hawaii pays the most, $110.96, and South Carolina the least, $4.86, a 22.8x spread.

V2213 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$110.96——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$105.92——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$97.56unit—Plans must pay at least this—
18California Source · since 2026-10-01$52.37——Plans negotiate; applies out of network—
19Texas Source · since 2026-09-01$49.89——Plans negotiate; applies out of network—
20Louisiana Source · since 2024-09-01$46.40——Plans must pay at least this—
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 V2213 — 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 V2213 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 V2213?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $51.13. Hawaii pays the most ($110.96) and South Carolina the least ($4.86).

Which state pays the highest Medicaid rate for V2213?

Hawaii, at $110.96, effective 2026-06-01.

Do managed-care plans pay the same rate for V2213?

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.