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Eye Exam, New Patient, Intermediate

Kentucky 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?

$61.66

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $43.65 to $79.43.

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 $56 · 10th to 90th $42 to $65Professionalmedian $62 · 10th to 90th $38 to $91
$50$100facility $56professional $62

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
$38.90
Median
$61.66
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$50.12
Typical High
$109.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$93.33

Where Kentucky 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.

Kentucky· 40th of 51

$61.66

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.