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Comprehensive Eye Exam, Established Patient

California rates for HCPCS 92014

A thorough eye examination performed by an eye doctor for a patient who has been seen by that practice before, covering the general medical evaluation of the eyes along with starting or continuing a treatment plan. It's the more in-depth, comprehensive version of an established-patient eye exam, compared to a shorter, more limited check. It can cover one or more visits related to the same evaluation and treatment plan.

Rates data updated July 2026.

How much does Comprehensive Eye Exam, Established Patient cost?

$135

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $93.33 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 14 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$135$100 to $162
FacilityA hospital or hospital-owned outpatient department$93.33$75.86 to $151

How much rates vary

Facilitymedian $93 · 10th to 90th $63 to $200Professionalmedian $135 · 10th to 90th $58 to $309
$50$100$200$500facility $93professional $135

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
$54.95
Median
$134.90
Typical High
$309.03
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$31.62
Median
$134.90
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$112.20
Median
$120.23
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$354.81
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$263.03
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$77.62
Typical High
$177.83
HealthNet
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$218.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$794.33
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$104.71
Typical High
$724.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$263.03
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$416.87
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$181.97
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$75.86
Typical High
$85.11

Where California sits

The same service costs 1.8 times more in Idaho 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.

California· 2nd of 51

$135

ID $138DE $77.62

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.