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Eye Exam, New Patient, Comprehensive

Georgia 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?

$135

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $95.50 to $162.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $87 · 10th to 90th $87 to $87Professionalmedian $135 · 10th to 90th $74 to $251
$50$100$200facility $87professional $135

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
$74.13
Median
$134.90
Typical High
$251.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$275.42
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$141.25
Median
$218.78
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$398.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$190.55

Where Georgia 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.

Georgia· 22nd of 51

$135

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.