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Eye Exam, New Patient, Intermediate

West Virginia 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?

$57.54

Typical physician fee. In West Virginia, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $41.69 to $79.43.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $48 · 10th to 90th $46 to $65Professionalmedian $58 · 10th to 90th $39 to $83
$50$100facility $48professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$154.88
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$89.13

Where West Virginia 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.

West Virginia· 49th of 51

$57.54

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.