go back

Eye Exam, New Patient, Intermediate

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $75.86 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$61.66$45.71 to $83.18
FacilityA hospital or hospital-owned outpatient department$75.86$50.12 to $93.33

How much rates vary

Facilitymedian $76 · 10th to 90th $45 to $115Professionalmedian $62 · 10th to 90th $41 to $105
$50$100$200facility $76professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$112.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$21.88
Median
$57.54
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$89.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$691.83

Where North Carolina 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.

North Carolina· 37th 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.