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Eye Exam, Established Patient, Intermediate

North Dakota 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 North Dakota, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $52.48 to $100.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $45 to $151Professionalmedian $74 · 10th to 90th $40 to $182
$10$20$50$100$200facility $76professional $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
$64.57
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$97.72
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$218.78
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$75.86
Typical High
$138.04

Where North Dakota 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.

North Dakota· 32nd 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.