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Eye Exam, New Patient, Intermediate

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $45.71 to $87.10.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $55 · 10th to 90th $42 to $55Professionalmedian $62 · 10th to 90th $39 to $105
$50$100facility $55professional $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
$64.57
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$181.97
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$107.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$131.83
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$104.71

Where Michigan 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.

Michigan· 42nd 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.