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Eye Exam, New Patient, Comprehensive

Kentucky 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?

$117

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $89.13 to $141.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $115 · 10th to 90th $78 to $132Professionalmedian $117 · 10th to 90th $74 to $170
$50$100$200facility $115professional $117

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
$79.43
Median
$123.03
Typical High
$162.18
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$134.90
Median
$138.04
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$95.50
Median
$128.82
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$165.96

Where Kentucky 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.

Kentucky· 40th of 51

$117

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.