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Eye Exam, New Patient, Comprehensive

Idaho 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?

$155

Typical physician fee. In Idaho, July 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $126 to $204.

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 $141 · 10th to 90th $78 to $234Professionalmedian $155 · 10th to 90th $87 to $275
$50$100$200$500facility $141professional $155

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
$89.13
Median
$151.36
Typical High
$295.12
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$162.18
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$239.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$213.80

Where Idaho 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.

Idaho· 2nd of 51

$155

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.