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Eye Exam, Established Patient, Intermediate

Tennessee 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?

$79.43

Typical physician fee. In Tennessee, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $53.70 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $43 to $141
$50$100$200professional $79

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
$43.65
Median
$81.28
Typical High
$141.25
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$114.82
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$147.91
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$95.50

Where Tennessee 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.

Tennessee· 18th of 51

$79.43

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.