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Eye Exam, Established Patient, Intermediate

Kansas 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?

$77.62

Typical physician fee. In Kansas, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $64.57 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 $68 · 10th to 90th $39 to $110Professionalmedian $78 · 10th to 90th $43 to $110
$50$100$200$500facility $68professional $78

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
$77.62
Typical High
$104.71
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$81.28
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$562.34
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$95.50

Where Kansas 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.

Kansas· 23rd of 51

$77.62

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.