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
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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims