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Eye Exam, Established Patient, Intermediate

Florida 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?

$74.13

Typical physician fee. In Florida, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $50.12 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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $93 · 10th to 90th $50 to $162Professionalmedian $74 · 10th to 90th $40 to $148
$20$50$100$200facility $93professional $74

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
Professional
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$147.91
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$85.11
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$87.10
Typical High
$114.82
AvMed
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$147.91
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$61.66
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$107.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$67.61
Typical High
$91.20

Where Florida 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.

Florida· 30th of 51

$74.13

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.