Average Medicaid Eye Exam Payments in Sioux Falls, SD: $48.58
Avg. Paid
$48.58
Range
$3.78 – $72.61
Total Claims
109,665
Providers
42
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Central Eye, Inc.
3209 S Louise Ave |
$59.47 | 12,829 | 12,424 |
|
Dakota Vision Center, Llc
5012 S Bur Oak Pl |
$54.28 | 11,471 | 10,976 |
|
Insight Eye Care Professionals, P.C.
2414 S Louise Ave |
$60.43 | 10,577 | 9,988 |
|
Dr. John W Sivesind, O.D., P.C.
5521 E Arrowhead Pkwy |
$58.33 | 8,913 | 8,449 |
|
Ryan Ellwein
3501 W 41St St |
$59.64 | 8,027 | 8,004 |
|
Ophthalmology Ltd
6601 S Minnesota Ave |
$30.92 | 7,526 | 6,623 |
|
Sioux Falls Family Vision Pc
2325 W 57Th St |
$37.29 | 6,419 | 5,896 |
|
Sanford Medical Center
1420 W 22Ndst Ste 104 |
$47.15 | 5,891 | 5,124 |
|
Howlin Vision Clinic, P.C.
5129 S Western Ave |
$38.13 | 5,872 | 5,072 |
|
The Eye Doctors Pc
5116 S Western Ave |
$44.72 | 5,279 | 4,911 |
|
Jodi Traub
3401 S Kelley Ave |
$53.69 | 3,459 | 3,287 |
|
Angela R. Gulbranson, Od, Pc
6201 S Minnesota Ave |
$47.56 | 3,055 | 2,941 |
|
Hayley Frances Klein
1621 S Minnesota Ave |
$19.89 | 2,381 | 2,247 |
|
Family Eye Care Center, P.C.
5118 W 26Th St |
$42.16 | 1,886 | 1,823 |
|
Sanford Clinic
2310 S Marion Rd Ste 140 |
$51.51 | 1,880 | 1,744 |
|
Maria Louisa Stunkel
1400 W 22Nd St |
$6.77 | 1,683 | 1,658 |
|
Avera Mckennan
911 E 20Th St Ste 101 |
$39.26 | 1,294 | 1,149 |
|
Tyler Vermeer
6601 S Minnesota Ave Ste 200 |
$40.18 | 1,258 | 1,178 |
|
Focus Optometry, P.C.
2100 S Marion Rd Ste 125 |
$42.91 | 1,225 | 1,148 |
|
Elizabeth Chen Chiang
6601 S Minnesota Ave Ste 200 |
$58.30 | 1,101 | 989 |
|
Shoptikal Llc
2812 W 41St St |
$69.30 | 994 | 950 |
|
Victoria L. Knudsen
1301 S Cliff Ave |
$3.78 | 945 | 732 |
|
Barnett Vision Clinic Llc
3825 S Western Ave |
$30.66 | 770 | 652 |
|
James Michael Barnett
3825 S Western Ave |
$32.68 | 636 | 555 |
|
John Herbert Bannwarth
4501 E Arrowhead Pkwy |
$40.82 | 635 | 451 |
|
Shopko Stores Operating Co. Llc
4501 E Arrowhead Pkwy |
$51.05 | 629 | 612 |
|
Shoptikal Llc
3330 E 10Th St |
$72.61 | 596 | 573 |
|
Angela R. Gulbranson Od, Pc
6205 S Minnesota Ave |
$41.77 | 571 | 521 |
|
Eye Guys Pllc
3825 S Western Ave |
$64.75 | 356 | 350 |
|
Shopko Stores Operating Co. Llc
1601 W 41St St |
$52.25 | 248 | 242 |
|
Vance Thompson Vision Clinic Prof Llc
3101 W 57Th St |
$17.13 | 236 | 135 |
|
Rlf Optometry Llc
3700 S Grange |
$22.99 | 197 | 180 |
|
Andrew James Ollerton
1621 S Minnesota Ave |
$39.03 | 179 | 140 |
|
Kelsey Jean Tobin
1621 S Minnesota Ave |
$29.18 | 151 | 128 |
|
Cornerstone Eye Clinic, P.C.
2310 S Marion Rd |
$28.62 | 117 | 117 |
|
Ryan Lowell Geraets
6601 S Minnesota Ave Ste 200 |
$24.08 | 109 | 106 |
|
Sanford Medical Center
1305 W 18Th St |
$25.70 | 84 | 59 |
|
Elizabeth Anne Atchison
6601 S Minnesota Ave |
$22.44 | 75 | 68 |
|
Dr. Matthew P. Clarke, O.D., Pc
850 W Empire Mall |
$11.74 | 71 | 71 |
|
Brett Lorenz
510 W Empire Mall |
$12.26 | 15 | 15 |
|
Tkc Optical, Inc.
2510 S Louise Ave |
$9.85 | 13 | 13 |
|
Richard George Barnett
3825 S Western Ave |
$68.75 | 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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Eye Exam in Sioux Falls, SD is $48.58 per claim, based on 109,665 claims from 42 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 Sioux Falls, SD?
There are 42 Medicaid providers offering Eye Exam related services in Sioux Falls, SD according to public payment data.
What is the price range for Eye Exam in Sioux Falls, SD?
Medicaid reimbursement for Eye Exam in Sioux Falls, SD ranges from $3.78 to $72.61 per claim, with an average of $48.58. 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 Sioux Falls, SD
Office Visit
Avg $50.32
948,639 claims
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Personal Care Services
Avg $119.40
213,761 claims
Speech Therapy
Avg $21.62
173,302 claims