Average Medicaid Eye Exam Payments in Boulder, CO: $68.01
Avg. Paid
$68.01
Range
$0.00 – $136.32
Total Claims
25,342
Providers
22
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 Boulder, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brenda Gilchrist
1790 30Th St Ste 311 |
$80.16 | 10,024 | 7,828 |
|
Lowell C Steinberg
3100 Arapahoe Ave Ste 101 |
$84.61 | 4,535 | 4,356 |
|
Laura Painter Cline
3301 30Th St |
$95.60 | 3,901 | 3,714 |
|
Geeta Arjan Lalchandani-Lalwani
4430 Arapahoe Ave Ste 115 |
$18.90 | 2,042 | 1,216 |
|
Terri Dawn Oneby
1645 28Th St |
$34.53 | 1,069 | 1,025 |
|
Vlad Mihai Matei
4430 Arapahoe Ave Ste 115 |
$20.52 | 900 | 680 |
|
Charles J. Beatty
2449 Pine St |
$24.64 | 761 | 694 |
|
Ashlee Deann Elmont
2795 Pearl St |
$20.18 | 478 | 439 |
|
Parisa Safdarzadeh Haghighi
535 Evergreen Ave |
$26.54 | 393 | 382 |
|
Jennifer Lynn Krueger
2800 Pearl St |
$21.85 | 254 | 254 |
|
Lawrence Fluss
5305 Spine Rd Ste B |
$8.66 | 246 | 230 |
|
Monica Mortenson
1855 29Th St # 1E-1156 |
$7.86 | 226 | 205 |
|
Deana Satar Orvin
3301 30Th St |
$19.41 | 179 | 174 |
|
Gary Mannheimer
2795 Pearl St Ste 100 |
$45.99 | 157 | 149 |
|
Kaitlin Fosse
6545 Gunpark Dr Ste 250 |
$88.31 | 62 | 61 |
|
Briana Renee Lovell
1855 29Th St # 1E-1156 |
$0.00 | 28 | 26 |
|
Brian Nichols
4745 Arapahoe Ave |
$88.01 | 25 | 25 |
|
Philip Wren
6545 Gunpark Dr |
$0.00 | 13 | 13 |
|
Kevin Herbert Cuevas
4745 Arapahoe Ave |
$75.01 | 13 | 12 |
|
Brent James Deibert
4745 Arapahoe Ave |
$22.99 | 12 | 12 |
|
Matthew L Tripp
2800 Folsom St Ste C |
$136.32 | 12 | 12 |
|
Jeffrey Boyace Holland
1350 College Ave |
$0.00 | 12 | 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 Boulder, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Boulder, CO is $68.01 per claim, based on 25,342 claims from 22 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 Boulder, CO?
There are 22 Medicaid providers offering Eye Exam related services in Boulder, CO according to public payment data.
What is the price range for Eye Exam in Boulder, CO?
Medicaid reimbursement for Eye Exam in Boulder, CO ranges from $0.00 to $136.32 per claim, with an average of $68.01. 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
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Avg $96.83
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Avg $85.20
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Avg $31.98
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