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Eye Exam, New Patient, Comprehensive

Iowa 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?

$141

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $91.20 to $186.

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 $209 · 10th to 90th $85 to $363Professionalmedian $138 · 10th to 90th $74 to $282
$50$100$200$500facility $209professional $138

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
$134.90
Typical High
$263.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$223.87
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$288.40

Where Iowa 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.

Iowa· 15th of 51

$141

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.