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Eye Exam, New Patient, Comprehensive

Arkansas rates for HCPCS 92004

This is a thorough initial eye examination for a patient new to the practice, including a detailed history, a full exam of the eye's structures and vision, and the start of a treatment or monitoring plan. It's more extensive than a basic vision check and is often used to evaluate new or complex eye concerns.

Rates data updated July 2026.

How much does Eye Exam, New Patient, Comprehensive cost?

$129

Typical physician fee. In Arkansas, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $91.20 to $166.

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

Professionalmedian $129 · 10th to 90th $72 to $214
$50$100$200professional $129

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
$72.44
Median
$131.83
Typical High
$213.80
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$151.36
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$204.17
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$181.97

Where Arkansas sits

The same service costs 1.6 times more in California 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.

Arkansas· 25th of 51

$129

CA $158DE $97.72

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.