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South Dakota rates for HCPCS 92002

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

Facilitymedian $78 · 10th–90th $39–$1480%10%10th90th$78Professionalmedian $83 · 10th–90th $43–$1320%20%10th90th$83$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $83.18 / $120.23
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $128.82
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $131.83 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $97.72 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $77.62 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $162.18 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $100.00 / $190.55