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Eye Exam, New Patient, Intermediate

New Jersey 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?

$58.88

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $42.66 to $81.28.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251 · 10th to 90th $251 to $282Professionalmedian $59 · 10th to 90th $37 to $98
$50$100$200facility $251professional $59

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
$37.15
Median
$57.54
Typical High
$93.33
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$158.49
Median
$162.18
Typical High
$169.82
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$69.18
Typical High
$154.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$104.71
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$281.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$48.98
Typical High
$93.33

Where New Jersey 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.

New Jersey· 48th of 51

$58.88

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.