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Eye Exam, Established Patient, Intermediate

Arizona rates for HCPCS 92012

This is a medical eye examination for a patient who has previously been seen by the practice, covering a moderate level of evaluation and continuing or adjusting an existing treatment plan. It's typically used for routine follow-up of an existing eye condition rather than a new or highly complex problem.

Rates data updated July 2026.

How much does Eye Exam, Established Patient, Intermediate cost?

$75.86

Typical physician fee. In Arizona, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $52.48 to $95.50.

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

Facilitymedian $65 · 10th to 90th $39 to $145Professionalmedian $76 · 10th to 90th $43 to $138
$20$50$100$200$500facility $65professional $76

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
$42.66
Median
$77.62
Typical High
$138.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$83.18
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$75.86
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$72.44
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$562.34
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$83.18
Median
$112.20
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$91.20
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where Arizona sits

The same service costs 1.9 times more in Montana 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.

Arizona· 25th of 51

$75.86

MT $97.72DE $51.29

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.