go back

Eye Exam, New Patient, Comprehensive

Oregon 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?

$151

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $245 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 8 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$151$112 to $204
FacilityA hospital or hospital-owned outpatient department$245$158 to $295

How much rates vary

Facilitymedian $245 · 10th to 90th $102 to $295Professionalmedian $151 · 10th to 90th $83 to $331
$50$100$200$500facility $245professional $151

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
$81.28
Median
$141.25
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$147.91
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$331.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$199.53
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$295.12

Where Oregon 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.

Oregon· 3rd of 51

$151

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.