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Eye Exam, New Patient, Comprehensive

Connecticut 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?

$148

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $97.72 to $200.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $148 · 10th to 90th $68 to $331
$50$100$200$500professional $148

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
$67.61
Median
$147.91
Typical High
$354.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$186.21
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$154.88
Typical High
$338.84
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$208.93
Health New England
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$229.09

Where Connecticut 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.

Connecticut· 6th of 51

$148

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.