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Eye Exam, Established Patient, Intermediate

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $52.48 to $91.20.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $39 to $148Professionalmedian $78 · 10th to 90th $42 to $120
$50$100$200facility $76professional $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
$41.69
Median
$79.43
Typical High
$117.49
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$39.81
Median
$87.10
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$100.00
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$75.86
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$75.86
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$562.34
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$100.00
Median
$104.71
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$120.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where Missouri 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.

Missouri· 21st 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.