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Eye Exam, New Patient, Comprehensive

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $100 to $182.

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

Professionalmedian $138 · 10th to 90th $72 to $257
$50$100$200$500professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$128.82
Median
$190.55
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$141.25
Median
$199.53
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$257.04
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$169.82

Where Tennessee 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.

Tennessee· 19th 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.