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Eye Exam, New Patient, Intermediate

South Dakota 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?

$85.11

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $64.57 to $95.50.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72 · 10th to 90th $39 to $148Professionalmedian $85 · 10th to 90th $44 to $132
$50$100$200facility $72professional $85

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
$43.65
Median
$85.11
Typical High
$131.83
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$85.11
Typical High
$85.11
Avera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$95.50
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$77.62
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$70.79
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$186.21

Where South Dakota 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 Dakota· 2nd of 51

$85.11

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.