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New Jersey rates for HCPCS 92002

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

Facilitymedian $263 · 10th–90th $251–$2950%20%40%10th90th$263Professionalmedian $68 · 10th–90th $36–$1410%5%10%10th90th$68$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
$38.02 / $64.57 / $117.49
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$83.18 / $158.49 / $169.82
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $70.79 / $162.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $104.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $295.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $104.71 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $46.77 / $91.20