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Eye Exam, Established Patient, Intermediate

Iowa 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?

$83.18

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $53.70 to $102.

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 $112 · 10th to 90th $47 to $209Professionalmedian $83 · 10th to 90th $43 to $166
$50$100$200facility $112professional $83

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
$40.74
Median
$79.43
Typical High
$151.36
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$85.11
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$112.20
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$173.78

Where Iowa 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.

Iowa· 15th of 51

$83.18

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.