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Nationwide rates for HCPCS 92012

Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient

Facilitymedian $85 · 10th–90th $43$1740%10%10th90th$85Professionalmedian $85 · 10th–90th $43$1780%20%10th90th$85$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $128.82 / $331.13
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$58.88 / $141.25 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $83.18 / $169.82
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $95.50 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $60.26 / $117.49
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$64.57 / $104.71 / $165.96