Average Medicaid Eye Exam Payments in Elgin, IL: $29.60
Avg. Paid
$29.60
Range
$17.62 – $44.40
Total Claims
108,171
Providers
10
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 Elgin, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Priyanka Patel
2400 Big Timber Rd |
$44.40 | 200 | 136 |
|
Rehan Mohammad Hussain
1530 N Randall Rd Ste 202 |
$17.73 | 1,450 | 1,245 |
|
Rachel Shim
502 Waverly Dr |
$27.32 | 2,662 | 2,655 |
|
Chris A Tran
840 Summit St |
$35.60 | 3,145 | 2,889 |
|
Maja Hadziahmetovic
502 Waverly Dr |
$32.44 | 4,454 | 3,784 |
|
Rashmi Kapur
1530 N Randall Rd Ste 202 |
$17.62 | 5,549 | 4,790 |
|
Harry A. Bernstein
2521 Technology Dr |
$42.01 | 8,665 | 7,540 |
|
Nicole Van Cura
502 Waverly Dr |
$28.56 | 22,250 | 21,263 |
|
Manal Hajali
502 Waverly Drive |
$30.21 | 24,489 | 21,279 |
|
Yasham Sharaf Alam
502 Waverly Dr |
$28.35 | 35,307 | 32,217 |
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 Elgin, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Elgin, IL is $29.60 per claim, based on 108,171 claims from 10 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 Elgin, IL?
There are 10 Medicaid providers offering Eye Exam related services in Elgin, IL according to public payment data.
What is the price range for Eye Exam in Elgin, IL?
Medicaid reimbursement for Eye Exam in Elgin, IL ranges from $17.62 to $44.40 per claim, with an average of $29.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Eye Exam in Other Cities
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Avg $50.07
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Brooklyn, NY
Avg $43.97
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Chicago, IL
Avg $26.50
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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
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Avg $16.29
796,669 claims
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Avg $5.59
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Avg $2.34
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Avg $14.69
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Avg $1.64
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Avg $299.05
144,912 claims
Emergency Room Visit
Avg $65.86
134,276 claims