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Illinois rates for HCPCS 92002

Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient

Professionalmedian $79 · 10th–90th $39–$1740%10%10th90th$79$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $169.82
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$66.07 / $109.65 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $79.43 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $85.11 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $93.33 / $165.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $125.89