# CPT 92015: Determination Refractive State

Medicare CPT 92015 pays $19.04 in a non-facility setting and $15.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $17.87 in Arkansas to $25.31 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/92015-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $19.04 |
| National facility | $15.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $25.31 | $21.75 |
| District of Columbia | $20.85 | $16.92 |
| New York | $20.56 | $16.83 |
| New Jersey | $20.49 | $16.73 |
| California | $20.28 | $16.33 |
| Washington | $20.13 | $16.32 |
| Massachusetts | $20.03 | $16.27 |
| Connecticut | $19.89 | $16.29 |
| Florida | $19.69 | $16.34 |
| Hawaii | $19.58 | $15.78 |
| Maryland | $19.51 | $16.02 |
| Illinois | $19.49 | $16.26 |
| Colorado | $19.43 | $15.87 |
| Rhode Island | $19.40 | $15.95 |
| Oregon | $19.27 | $15.76 |
| New Hampshire | $19.20 | $15.72 |
| Puerto Rico | $19.09 | $15.72 |
| Virgin Islands | $19.09 | $15.72 |
| Pennsylvania | $19.08 | $15.80 |
| Montana | $19.04 | $15.70 |
| Texas | $18.97 | $15.68 |
| Delaware | $18.96 | $15.66 |
| Michigan | $18.95 | $15.81 |
| Nevada | $18.93 | $15.59 |
| Georgia | $18.92 | $15.73 |
| Wyoming | $18.86 | $15.52 |
| Arizona | $18.76 | $15.52 |
| Minnesota | $18.74 | $15.31 |
| Virginia | $18.74 | $15.46 |
| New Mexico | $18.67 | $15.61 |
| Vermont | $18.65 | $15.34 |
| North Dakota | $18.64 | $15.30 |
| Utah | $18.61 | $15.47 |
| South Dakota | $18.59 | $15.25 |
| Louisiana | $18.55 | $15.50 |
| West Virginia | $18.54 | $15.64 |
| Missouri | $18.53 | $15.47 |
| Maine | $18.52 | $15.33 |
| Ohio | $18.52 | $15.47 |
| South Carolina | $18.48 | $15.40 |
| North Carolina | $18.39 | $15.28 |
| Wisconsin | $18.32 | $15.12 |
| Kentucky | $18.31 | $15.35 |
| Indiana | $18.26 | $15.16 |
| Oklahoma | $18.25 | $15.26 |
| Idaho | $18.21 | $15.13 |
| Tennessee | $18.18 | $15.15 |
| Nebraska | $18.16 | $15.08 |
| Kansas | $18.13 | $15.11 |
| Iowa | $18.12 | $15.07 |
| Mississippi | $18.03 | $15.15 |
| Alabama | $18.00 | $15.07 |
| Arkansas | $17.87 | $15.00 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92015 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules