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Eye Exam, Established Patient, Intermediate

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $47.86 to $89.13.

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 $37 · 10th to 90th $36 to $65Professionalmedian $74 · 10th to 90th $40 to $105
$20$50$100facility $37professional $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
$74.13
Typical High
$107.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$97.72
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$74.13
Median
$81.28
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$37.15
Typical High
$64.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$104.71

Where Indiana 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.

Indiana· 34th 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.