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V2214 Medicaid reimbursement rate by state (2026)

Spherocylinder, bifocal, sphere over plus or minus 12.00d. Medicaid pays a median of $51.26 for V2214 across 35 states, from $4.86 in South Carolina to $136.68 in Delaware.

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

States publishing
35
National median
$51.26units vary by state
Lowest
$4.86South Carolina
Highest
$136.68Delaware

What does Medicaid pay for V2214?

35 state Medicaid programs publish a fee-for-service rate for V2214 at the physician psychologist level. The national median is $51.26 (units differ between states). Delaware pays the most, $136.68, and South Carolina the least, $4.86, a 28.1x spread.

V2214 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2026-01-01$136.68——Plans negotiate; applies out of network—
2Hawaii Source · since 2026-06-01$127.75——Plans negotiate; applies out of network—
3District of Columbia Source · since 2026-04-01$109.34——Not classified—
17Rhode Island Source · since 2012-06-01$61.55——Plans negotiate; applies out of network—
18Texas Source · since 2026-09-01$51.26——Plans negotiate; applies out of network—
19Nebraska Source · since 2026-07-01$50.28——Plans negotiate; applies out of network—
34Vermont Source · since 2023-03-01$5.00——Not classified—
35South Carolina Source · since 2020-07-01$4.86——Not classified—
See all 35 states for V2214 — start free

27 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 V2214 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 V2214?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $51.26. Delaware pays the most ($136.68) and South Carolina the least ($4.86).

Which state pays the highest Medicaid rate for V2214?

Delaware, at $136.68, effective 2026-01-01.

Do managed-care plans pay the same rate for V2214?

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.