go back

Eye Exam, New Patient, Comprehensive

Delaware 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?

$97.72

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $81.28 to $132.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $98 · 10th to 90th $74 to $145
$100professional $98

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
$74.13
Median
$97.72
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$165.96
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$229.09
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$154.88

Where Delaware 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.

Delaware· 51st of 51

$97.72

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.