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Eye Exam, Established Patient, Intermediate

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $48.98 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 $47 · 10th to 90th $47 to $47Professionalmedian $74 · 10th to 90th $40 to $102
$20$50$100facility $47professional $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
$102.33
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
$85.11
Median
$91.20
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$128.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$81.28
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$114.82

Where Nevada 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.

Nevada· 31st 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.