Average Medicaid Eye Exam Payments in Durango, CO: $37.26
Avg. Paid
$37.26
Range
$0.00 – $87.94
Total Claims
33,436
Providers
24
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 Durango, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Davis Capaccioli
3710 Main Ave Ste 203 |
$50.27 | 6,085 | 5,824 |
|
Sara Joy Haug
1266 Escalante Dr Ste 301 |
$24.41 | 5,041 | 4,313 |
|
Moss Jacob Fenberg
1266 Escalante Dr Ste 301 |
$28.01 | 4,594 | 3,992 |
|
Susannah Marie Standal
1165 S Camino Del Rio Ste 100 |
$11.40 | 4,573 | 4,234 |
|
Randy W Ash
765 E College Dr |
$54.00 | 2,289 | 2,234 |
|
Grant Gebhard
1266 Escalante Dr Ste 301 |
$28.77 | 1,897 | 1,620 |
|
Kyle Piwonka
575 Rivergate Ln Unit 212 |
$22.02 | 1,630 | 1,469 |
|
Kiley Ann Berry
1165 S. Camino Del Rio |
$71.70 | 1,493 | 1,229 |
|
Lee Ann Hoven
1165 S. Camino Del Rio |
$84.95 | 1,082 | 970 |
|
Morgan Tanner Miller
450 S Camino Del Rio Ste 101 |
$28.59 | 956 | 894 |
|
Matthew Evan Burgess
2855 Main Ave |
$37.36 | 903 | 833 |
|
Ha Thi Kim Huynh
270 E 8Th Ave Ste N101 |
$62.66 | 684 | 649 |
|
Gretchen Arneson
2855 Main Ave Ste A103 |
$81.70 | 450 | 399 |
|
Linda Rose
575 Rivergate Unit 212 |
$37.74 | 418 | 335 |
|
Cameron Levi Clarke
1266 Escalante Drive Suite 301 |
$38.81 | 412 | 364 |
|
John Phillip Brach
575 Rivergate |
$87.94 | 291 | 260 |
|
Caitlin Jean Campbell
2855 N Main |
$24.63 | 254 | 200 |
|
Joanne Lew-Goltz
1155 S Camino Del Rio |
$86.27 | 152 | 131 |
|
Erin Armstrong
1165 S Camino Del Rio |
$19.05 | 80 | 80 |
|
Joshua Paul Zastrocky
575 Rivergate |
$26.10 | 67 | 62 |
|
Mark Miller
450 S Camino Del Rio |
$45.30 | 37 | 37 |
|
Brian D Baxter
1266 Escalante Dr Ste 301 |
$0.00 | 19 | 14 |
|
Donna R Harder-Smith
270 E 8Th Ave |
$41.11 | 15 | 14 |
|
Southwest Eye Consultants Pllc
1266 Escalante Dr Ste 301 |
$2.81 | 14 | 14 |
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 Durango, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Durango, CO is $37.26 per claim, based on 33,436 claims from 24 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 Durango, CO?
There are 24 Medicaid providers offering Eye Exam related services in Durango, CO according to public payment data.
What is the price range for Eye Exam in Durango, CO?
Medicaid reimbursement for Eye Exam in Durango, CO ranges from $0.00 to $87.94 per claim, with an average of $37.26. 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
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Bronx, NY
Avg $51.98
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San Diego, CA
Avg $18.12
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Las Vegas, NV
Avg $34.73
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Flushing, NY
Avg $55.73
752,320 claims · 93 providers
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