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Eye Exam, New Patient, Comprehensive

Minnesota 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?

$148

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $166 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$102 to $240
FacilityA hospital or hospital-owned outpatient department$166$102 to $257

How much rates vary

Facilitymedian $166 · 10th to 90th $93 to $355Professionalmedian $148 · 10th to 90th $79 to $355
$50$100$200$500facility $166professional $148

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
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$263.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$138.04
Median
$138.04
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$251.19
Typical High
$478.63
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$257.04
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$177.83
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$467.74
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$281.84
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$354.81

Where Minnesota 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.

Minnesota· 5th of 51

$148

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.