Average Medicaid Eye Exam Payments in Bangor, ME: $25.82
Avg. Paid
$25.82
Range
$11.85 – $69.10
Total Claims
96,810
Providers
28
Typical Payment Range
Typical Medicaid Eye Exam payments fall between $15.70 and $41.60 per claim (median: $27.93). The top 10% of payments exceed $57.73.
Based on per-provider averages across all Medicaid claims in this category.
Comprehensive eye examinations assess vision and check for eye diseases. Includes refraction, eye health evaluation, and screening for conditions like glaucoma.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Eye Exam in Bangor, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastern Maine Medical Center
489 State St |
$24.87 | 17,372 | 16,770 |
|
Anthony S Ekong
336 Mount Hope Ave Ste 1 |
$11.85 | 11,647 | 6,461 |
|
Oscar Rafael Batlle
1 Ridgewood Dr |
$16.00 | 9,718 | 8,138 |
|
Luke Gamble
1 Ridgewood Dr |
$34.86 | 9,101 | 8,476 |
|
Theodore Curtis
885 Union St |
$69.10 | 6,647 | 6,520 |
|
Jessica Susan Watson
885 Union St Ste 130 |
$20.71 | 6,552 | 6,220 |
|
Curt Tyler Young
1 Ridgewood Dr |
$18.75 | 4,663 | 3,921 |
|
Philip N. Goldthwait
11 Bangor Mall Blvd Ste 2 |
$17.56 | 3,561 | 3,072 |
|
David Joseph Benes
1 Ridgewood Dr |
$28.53 | 3,341 | 3,042 |
|
Tracey Durkovich Clark
1 Ridgewood Drive |
$15.15 | 3,180 | 2,595 |
|
Lucie Neron
824 Stillwater Ave |
$22.27 | 3,061 | 2,921 |
|
Sarah Jayne Gladstone
824 Stillwater Ave |
$22.95 | 2,772 | 2,656 |
|
Ethan Ranger Taylor
824 Stillwater Avenue |
$23.39 | 2,292 | 2,243 |
|
Lawrence Piazza
895 Union St Ste 225 |
$23.42 | 2,225 | 2,020 |
|
David Thomas Douglass
955 Broadway |
$16.11 | 2,149 | 1,972 |
|
Katherine Dawn Nickerson
35 State Hospital Dr |
$55.92 | 1,582 | 1,548 |
|
Jeffrey Jay Jordan
900 Hammond St # A |
$33.92 | 1,532 | 1,445 |
|
Virginia Gilmore
663 Stillwater Ave |
$37.83 | 1,288 | 1,264 |
|
Cynthia Amanda Self
900 Hammond St # A |
$30.77 | 872 | 768 |
|
Lindsay Michaud
35 State Hospital Dr |
$13.58 | 803 | 769 |
|
Chloe Carolyn Douglass
955 Broadway |
$14.42 | 742 | 639 |
|
Paul Rush Moulton
5 Grove St |
$41.94 | 467 | 456 |
|
George Shafranov
885 Union St Ste 130 |
$12.57 | 431 | 373 |
|
Garth Allen Wilbanks
900 Hammond St # A |
$36.67 | 397 | 342 |
|
Samuel Valley
766 Stillwater Ave |
$68.41 | 179 | 147 |
|
Jean Henderson Tibbetts
417 State St |
$15.58 | 111 | 106 |
|
Kathryn R Beveridge
766 Stillwater Ave |
$36.59 | 111 | 109 |
|
Charles A Civiello
105 Forest Ave |
$44.48 | 14 | 12 |
What to Expect: Eye Exam
A comprehensive eye exam takes 30-60 minutes. The doctor will test your visual acuity, check your peripheral vision, examine the front and back of your eyes, measure eye pressure (glaucoma screening), and determine your prescription. Your eyes may be dilated with drops, which temporarily causes light sensitivity and blurry close-up vision for a few hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 92015 | Refraction determination | $11.08 | 45,825,988 | 30,580 |
| 92014 | Eye exam estab pt comprehens | $53.49 | 34,678,723 | 31,373 |
| 92004 | Eye exam new patient compreh | $62.86 | 20,638,089 | 26,900 |
| 92012 | Eye exam estab pt intermedi | $41.74 | 10,441,311 | 12,861 |
| 92134 | Retinal OCT posterior segment | $17.76 | 9,310,449 | 6,690 |
| 92250 | Fundus photography | $28.59 | 7,948,707 | 10,428 |
| 92083 | Visual field exam extended | $31.87 | 3,202,240 | 4,820 |
| 92133 | Optic nerve imaging RNFL | $19.38 | 2,491,451 | 4,925 |
| 92002 | Eye exam new patient intermed | $39.06 | 1,337,321 | 3,576 |
| 92081 | Visual field exam limited | $8.73 | 1,037,034 | 1,303 |
| 92136 | Ophthalmic biometry | $20.12 | 671,455 | 1,857 |
| 92082 | Visual field exam intermed | $29.04 | 236,339 | 417 |
| 92132 | Anterior segment OCT | $15.77 | 89,204 | 192 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Eye Exam cost in Bangor, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Bangor, ME is $25.82 per claim, based on 96,810 claims from 28 providers. Typical payments fall between $15.70 and $41.60. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Eye Exam in Bangor, ME?
There are 28 Medicaid providers offering Eye Exam related services in Bangor, ME according to public payment data.
What is the price range for Eye Exam in Bangor, ME?
Medicaid reimbursement for Eye Exam in Bangor, ME ranges from $11.85 to $69.10 per claim, with an average of $25.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
New York, NY
Avg $50.07
3,393,865 claims · 654 providers
Brooklyn, NY
Avg $43.97
3,226,981 claims · 558 providers
Chicago, IL
Avg $26.50
1,753,310 claims · 485 providers
Los Angeles, CA
Avg $18.49
1,694,440 claims · 571 providers
Bronx, NY
Avg $51.98
1,594,602 claims · 257 providers
San Diego, CA
Avg $18.12
776,876 claims · 232 providers
Las Vegas, NV
Avg $34.73
752,879 claims · 284 providers
Flushing, NY
Avg $55.73
752,320 claims · 93 providers
Other Procedures in Bangor, ME
Blood Work & Lab Tests
Avg $3.09
1,168,393 claims
Office Visit
Avg $27.57
683,589 claims
Substance Abuse Treatment
Avg $105.08
515,120 claims
Case Management Services
Avg $71.67
367,165 claims
Psychiatric Evaluation
Avg $25.99
358,754 claims
Home Health Visit
Avg $176.93
259,524 claims
Emergency Room Visit
Avg $160.57
245,511 claims
X-Ray
Avg $10.16
231,959 claims