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Eye Exam, New Patient, Comprehensive

Utah 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?

$115

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $91.20 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 $112 · 10th to 90th $112 to $162Professionalmedian $115 · 10th to 90th $74 to $204
$50$100$200facility $112professional $115

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
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$18.20
Median
$89.13
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$177.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$199.53

Where Utah 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.

Utah· 43rd of 51

$115

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.