Based on public Medicaid payment data.

Average Medicaid Eye Exam Payments in Provo, UT: $30.14

Avg. Paid

$30.14

Range

$0.00 – $83.23

Total Claims

51,427

Providers

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 Provo, UT

Provider	Avg. Paid	Claims	Patients
Central Utah Eye Associates 1735 N State St	$17.84	17,374	17,049
Bradley Henriksen 1735 N State St	$60.07	5,507	5,226
Utah Valley Eye Center Inc 1055 N 300 W Ste 204	$12.97	3,360	3,306
Robert Joel Welch 1055 N 300 W Ste 500	$13.00	2,203	2,005
James G Theurer 1735 N State St	$29.15	1,956	1,770
William V Hatch 1735 N State St	$34.72	1,790	1,744
Nathan Lambert 1735 N State St	$44.82	1,742	1,669
Jonathan B Gunther 1735 N State St	$59.10	1,439	1,140
Retina And Vitreous Surgeons Of Utah, Llc 1055 N 300 W Ste 500	$17.42	1,419	1,316
Mason Antone Schmutz 1735 N State St	$40.75	1,381	1,290
Reese Mark Loveless 1735 N State St	$39.64	1,149	1,115
Phillip Anthony Plothow 3651 N 100 E	$44.93	1,097	948
David O. Edmunds 1055 N 300 W Ste 204	$40.77	1,054	1,011
Ryan Franklin Isom 1055 N 300 W Ste 500	$81.67	1,026	847
Joseph S Schmutz 1735 N State St	$34.05	887	838
William Reid Cluff 122 E 1700 S Bldg 3	$39.18	807	725
Justin Wilkinson 1735 N State St	$30.50	778	705
Jeffrey Paul Gardiner 1055 N 300 W	$32.42	687	679
Christopher Ricks 1735 N State St	$29.52	682	661
Duane James Nelson 1055 N 300 W	$20.01	610	500
Dell C Morris 1735 N State St	$28.35	546	540
Michael J Lloyd 1055 N 300 W Ste 204	$31.31	464	454
Jack Dunyon Stringham 1055 N 300 W Ste 500	$1.07	433	390
Joe Rex Haggard 1055 N 300 W	$19.11	426	416
Frank Middleton Edmunds 1055 N 300 W	$28.11	417	405
Richard Paul Corey 1055 N 300 W Ste 500	$83.23	335	290
Standard Optical Co 1200 Provo Towne Centre	$16.48	332	331
Revere Health Pc 1055 N 500 W	$4.65	310	292
Paul Ferron Olson 1055 N 300 W	$17.57	306	305
Stephen L Donaldson 1055 N 500 W Ste 201	$11.25	303	251
Blaine F Bird 1055 N 300 W	$15.86	146	142
Austin James Woolley 1735 N State St	$50.87	144	141
Garret Bringhurst 1055 N 300 W Ste 204	$31.71	135	134
Duval Eye Care, Llc 320 W. River Park Drive	$25.58	75	70
Devin Acel Duval 320 River Park Dr Ste 245	$40.28	49	49
Kristine Alleman Dunn 1055 N 300 W	$0.00	29	26
David Ivan Jones 1055 N 300 W Ste 204	$13.95	16	15
Matthew Reed Parsons 1735 N State St	$0.00	13	13

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 Provo, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Provo, UT is $30.14 per claim, based on 51,427 claims from 38 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 Provo, UT?

There are 38 Medicaid providers offering Eye Exam related services in Provo, UT according to public payment data.

What is the price range for Eye Exam in Provo, UT?

Medicaid reimbursement for Eye Exam in Provo, UT ranges from $0.00 to $83.23 per claim, with an average of $30.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Eye Exam Payments in Provo, UT: $30.14

Providers Offering Eye Exam in Provo, UT

What to Expect: Eye Exam

Cost Components

Frequently Asked Questions

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