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Eye Exam, New Patient, Comprehensive

Nebraska 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?

$141

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $158 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 7 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$141$91.20 to $263
FacilityA hospital or hospital-owned outpatient department$158$129 to $229

How much rates vary

Facilitymedian $158 · 10th to 90th $91 to $269Professionalmedian $141 · 10th to 90th $76 to $331
$50$100$200facility $158professional $141

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
$91.20
Median
$91.20
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$316.23
Median
$316.23
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$295.12
Median
$295.12
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$275.42
Typical High
$371.54
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$288.40
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$131.83
Typical High
$316.23

Where Nebraska 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.

Nebraska· 13th of 51

$141

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.