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Eye Exam, New Patient, Comprehensive

North Dakota 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?

$138

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $91.20 to $191.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $74 to $257Professionalmedian $138 · 10th to 90th $74 to $269
$10$20$50$100$200facility $129professional $138

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
$74.13
Median
$123.03
Typical High
$229.09
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$151.36
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$162.18
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$363.08
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$257.04
Median
$257.04
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$251.19

Where North Dakota 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.

North Dakota· 17th of 51

$138

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.