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Eye Exam, New Patient, Comprehensive

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $87.10 to $155.

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 $91 · 10th to 90th $91 to $91Professionalmedian $117 · 10th to 90th $69 to $178
$50$100$200facility $91professional $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
$69.18
Median
$117.49
Typical High
$169.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$32.36
Median
$165.96
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$213.80
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$147.91
Typical High
$239.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$194.98

Where Nevada 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.

Nevada· 39th 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.