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Texas rates for HCPCS 92002

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

Facilitymedian $72 · 10th–90th $40$1550%5%10%10th90th$72Professionalmedian $71 · 10th–90th $37$1450%10%10th90th$71$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $154.88 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $70.79 / $144.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$81.28 / $114.82 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $75.86 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $354.81 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $67.61 / $102.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $128.82
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $77.62 / $128.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $549.54 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $97.72 / $169.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $36.31 / $70.79
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $81.28 / $169.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $109.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $77.62 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $69.18 / $85.11