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Eye Exam, Established Patient, Intermediate

Connecticut 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?

$85.11

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $53.70 to $115.

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 $85 · 10th to 90th $40 to $204
$20$50$100$200professional $85

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
$39.81
Median
$85.11
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$102.33
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$199.53
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$120.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$61.66
Typical High
$131.83

Where Connecticut 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.

Connecticut· 14th of 51

$85.11

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.