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Eye Exam, Established Patient, Intermediate

Minnesota 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 negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$60.26 to $132
FacilityA hospital or hospital-owned outpatient department$100$57.54 to $148

How much rates vary

Facilitymedian $100 · 10th to 90th $54 to $209Professionalmedian $85 · 10th to 90th $44 to $219
$20$50$100$200facility $100professional $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
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$75.86
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$79.43
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$141.25
Typical High
$281.84
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$251.19
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$275.42
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$128.82
Median
$177.83
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$204.17

Where Minnesota 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.

Minnesota· 10th 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.