Average Medicaid Eye Exam Payments in Plymouth, MN: $42.46
Avg. Paid
$42.46
Range
$10.02 – $50.89
Total Claims
13,940
Providers
17
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 Plymouth, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chase Edward Eder
10600 Old County Road 15 |
$11.38 | 12 | 12 |
|
Minnesota Vision Outreach, Inc
9905 45Th Avenue North |
$11.99 | 13 | 13 |
|
Don Sealock, O.D., P.A.
4455 Highway 169 N |
$10.02 | 23 | 21 |
|
Kimberley Anne Bugajski
10600 Old County Road 15 |
$35.30 | 28 | 28 |
|
Anthony Charles Traverse
10600 Old County Road 15 |
$30.71 | 51 | 49 |
|
Kelly Mccarthy
4175 Vinewood Ln N |
$44.33 | 129 | 128 |
|
Jesse Rossow
10600 Old County Road 15 |
$25.50 | 197 | 174 |
|
Nicole Ann Solem
4455 Highway 169 N |
$29.50 | 255 | 246 |
|
Leah Ruhland
4455 Highway 169 N |
$36.97 | 291 | 283 |
|
Tanya S Erntson
4455 Highway 169 N |
$34.56 | 574 | 563 |
|
Kelsey Moore
10600 Old County Road 15 |
$24.67 | 595 | 562 |
|
Kristina M Borespupp
4455 Highway 169 N |
$36.67 | 617 | 602 |
|
Thomas J Bryan
4455 Highway 169 N |
$40.95 | 749 | 728 |
|
Krista M Davis
4455 Highway 169 N |
$45.68 | 1,530 | 1,491 |
|
Bryce D Sealock
4455 Highway 169 N |
$43.53 | 1,761 | 1,714 |
|
Lindsay Nicole Page
4455 Highway 169 N |
$50.89 | 1,845 | 1,826 |
|
Donald H Sealock
4455 Highway 169 N |
$43.93 | 5,270 | 5,022 |
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 Plymouth, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Plymouth, MN is $42.46 per claim, based on 13,940 claims from 17 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 Plymouth, MN?
There are 17 Medicaid providers offering Eye Exam related services in Plymouth, MN according to public payment data.
What is the price range for Eye Exam in Plymouth, MN?
Medicaid reimbursement for Eye Exam in Plymouth, MN ranges from $10.02 to $50.89 per claim, with an average of $42.46. 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 Plymouth, MN
Non-Emergency Medical Transportation
Avg $18.45
120,164 claims
Home Health Visit
Avg $79.70
60,864 claims
Office Visit
Avg $70.95
39,242 claims
Dental Cleaning & Exam
Avg $42.87
28,177 claims
Personal Care Services
Avg $48.84
27,477 claims
Emergency Room Visit
Avg $160.09
25,286 claims
X-Ray
Avg $7.26
19,178 claims
Blood Work & Lab Tests
Avg $9.45
18,865 claims