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Eye Exam, New Patient, Intermediate

Illinois rates for HCPCS 92002

This is a focused medical eye examination for a patient new to the practice, covering a moderate level of history and exam along with starting a treatment plan. It's less extensive than a comprehensive new-patient exam and is often used for more straightforward new eye concerns.

Rates data updated July 2026.

How much does Eye Exam, New Patient, Intermediate cost?

$72.44

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $47.86 to $100.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50 · 10th to 90th $50 to $316Professionalmedian $72 · 10th to 90th $39 to $135
$50$100$200facility $50professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$131.83
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$21.88
Median
$89.13
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$138.04

Where Illinois sits

The same service costs 1.7 times more in Wyoming than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 19th of 51

$72.44

WY $85.11DE $48.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.