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Michigan rates for HCPCS 92002

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

Facilitymedian $51 · 10th–90th $42–$560%20%40%10th90th$51Professionalmedian $71 · 10th–90th $39–$1450%5%10%10th90th$71$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $70.79 / $144.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $107.15 / $457.09
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 / $52.48 / $97.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $51.29 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $75.86 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $63.10 / $181.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $74.13 / $120.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $104.71 / $181.97
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $104.71