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Eye Exam, New Patient, Comprehensive

Vermont 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?

$112

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $91.20 to $145.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $112 · 10th to 90th $81 to $155
$100$200professional $112

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
$112.20
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$208.93
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$213.80

Where Vermont 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.

Vermont· 46th of 51

$112

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.