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Eye Exam, New Patient, Intermediate

South 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?

$70.79

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $46.77 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $78 · 10th to 90th $44 to $120Professionalmedian $71 · 10th to 90th $40 to $120
$50$100$200facility $78professional $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
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$85.11
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$85.11

Where South 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.

South Carolina· 21st 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.