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Billing code V2531 · Vision & hearing

V2531 Medicaid reimbursement rate by state (2026)

Contact lens, scleral, gas permeable, per lens. Medicaid pays a median of $498.17 for V2531 across 26 states, from $53.45 in Mississippi to $750.53 in New Mexico.

Data as of Oct 5, 202626 statesEvery rate links to its official source

States publishing
26
National median
$498.17units vary by state
Lowest
$53.45Mississippi
Highest
$750.53New Mexico
Answer

What does Medicaid pay for V2531?

26 state Medicaid programs publish a fee-for-service rate for V2531. The national median is $498.17 (units differ between states). New Mexico pays the most, $750.53, and Mississippi the least, $53.45, a 14.0x spread.

State ranking

V2531 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2023-07-01$750.53——Plans must pay at least this—
2Hawaii Source · since 2026-06-01$689.03——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$653.64unit—Plans must pay at least this—
13Colorado Source · since 2026-07-01$501.40——Plans negotiate; applies out of network—
14Maine Source · since 2026-01-01$494.93——Not classified—
15Ohio Source · since 2024-01-01$494.40——Plans negotiate; applies out of network—
25Oregon Source · since 2009-01-01$160.84——Plans negotiate; applies out of network—
26Mississippi Source · since 1996-01-01$53.45——Plans must pay at least this—
See all 26 states for V2531 — start free

18 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 V2531 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 V2531?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $498.17. New Mexico pays the most ($750.53) and Mississippi the least ($53.45).

Which state pays the highest Medicaid rate for V2531?

New Mexico, at $750.53, effective 2023-07-01.

Do managed-care plans pay the same rate for V2531?

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.