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Eye Exam, New Patient, Intermediate

Missouri 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?

$70.79

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $64.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$45.71 to $87.10
FacilityA hospital or hospital-owned outpatient department$64.57$38.90 to $115

How much rates vary

Facilitymedian $65 · 10th to 90th $35 to $115Professionalmedian $71 · 10th to 90th $38 to $120
$50$100$200facility $65professional $71

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$87.10
Median
$87.10
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$114.82

Where Missouri 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.

Missouri· 22nd of 51

$70.79

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.