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Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Boston, MA: $41.15

Avg. Paid

$41.15

Range

$0.53 – $122.57

Total Claims

701,137

Providers

306

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 Boston, MA

Provider Avg. Paid Claims Patients
Tais Couto Bernardes P Estrela

243 Charles St

$12.59 12 12
Jason S Rothman

50 Staniford St

$22.71 12 12
Thomas R Hedges

750 Washington St

$68.57 12 12
Daniel Lee Liebman

243 Charles St

$9.27 12 12
Narae Ko

800 Washington St

$23.80 12 12
Jay S. Duker

800 Washington St

$42.74 12 12
Ying Jiang

243 Charles St

$12.92 12 12
George Papaliodis

243 Charles St

$70.48 12 12
Monica Diem Phuong Nguyen

1340 Boylston St # 6F

$47.31 12 12
Laura C Fine

50 Staniford St

$16.43 12 12
Tave Van Zyl

243 Charles St

$10.37 12 12
Erynn B Yang

133 Brookline Ave

$53.65 13 12
Jessica Kanter Rankin

243 Charles St

$70.73 13 13
Dean M Cestari

243 Charles St

$3.38 13 12
Michael E Dalton

50 Staniford St

$12.69 13 13
Alexandra T Elliott

300 Longwood Ave

$51.45 14 14
Peter Louis Lou

10 Hawthorne Pl

$34.69 14 12
Yi Stephanie Zhang

243 Charles St

$27.19 14 14
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc

330 Brookline Ave

$10.11 14 13
Bart Kevin Chwalisz

55 Fruit St

$4.71 14 14
Deidrya Antoinette Elizabeth Jackson

800 Washington St

$76.30 15 15
Aseef Ahmed

800 Washington St # 450

$12.35 15 15
Daniel Robert Lefebvre

243 Charles St

$27.64 15 15
Jung E Chan

1340 Boylston Street

$12.72 15 14
Nicoletta A Fynn-Thompson

50 Staniford St

$58.89 16 14
Peter A Rapoza

50 Staniford St

$17.31 17 13
Jaclyn E. Garlich

126 High St

$6.48 18 14
Leonid M Zukin

243 Charles St

$35.74 21 12
Ceida P Chan

780 Albany St

$50.76 24 24
Alexa Caruso

33 Broad St

$12.36 25 25
Alina Reznik

33 Arch St Fl 16

$39.30 26 26
Laura Elizabeth Martin

681 Tremont St

$13.52 26 26
Nahyoung Grace Lee

243 Charles St

$25.04 26 26
Kevin Ferenchak

243 Charles St

$13.51 27 27
Yue Yu

230 Bowdoin St

$17.70 28 28
Amrit K Jawanda

900 Commonwealth Ave

$13.62 28 27
Everett B Sabree

130 Dartmouth St

$26.43 31 31
Christine Morris

50 Staniford St Ste 600

$11.52 32 28
Caroline C Marhefka

424 Beacon St

$53.10 34 34
Paolo Antonio Sandico Silva

1 Joslin Pl

$14.21 36 24
Michael B Raizman

50 Staniford St

$29.14 39 38
Isabel Deakins

243 Charles St

$43.39 39 39
Roberto Pineda

243 Charles St

$50.41 39 39
Wayne Ken Chan

229 Berkeley St

$34.46 39 38
Lloyd Paul Aiello

1 Joslin Place

$14.64 40 30
Magen Mary Sokol

50 Staniford St Ste 600

$25.04 42 42
Robert Allen Petersen

300 Longwood Ave

$81.16 43 43
Amanda Wiederoder

230 Congress St

$10.82 46 40
Philip Martin Silver

1 Joslin Pl

$26.24 49 49
Lixin Zhang

424 Beacon St

$27.78 51 51

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 Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Boston, MA is $41.15 per claim, based on 701,137 claims from 306 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 Boston, MA?

There are 306 Medicaid providers offering Eye Exam related services in Boston, MA according to public payment data.

What is the price range for Eye Exam in Boston, MA?

Medicaid reimbursement for Eye Exam in Boston, MA ranges from $0.53 to $122.57 per claim, with an average of $41.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Eye Exam in Other Cities

Other Procedures in Boston, MA