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Eye Exam, New Patient, Comprehensive

Montana 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 physician fee. In Montana, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $97.72 to $174.

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 $166 · 10th to 90th $105 to $263Professionalmedian $145 · 10th to 90th $50 to $234
$10$20$50$100$200facility $166professional $145

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
$50.12
Median
$141.25
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$95.50
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$234.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$263.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$288.40

Where Montana 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.

Montana· 4th 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.