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Eye Exam, New Patient, Comprehensive

Kansas 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?

$129

Typical physician fee. In Kansas, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $102 to $158.

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

Facilitymedian $117 · 10th to 90th $72 to $186Professionalmedian $129 · 10th to 90th $74 to $178
$50$100$200$500facility $117professional $129

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
$128.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$138.04
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$165.96

Where Kansas 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.

Kansas· 28th of 51

$129

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.