go back

Pennsylvania rates for HCPCS 92015

Determination of refractive state

Facilitymedian $9 · 10th–90th $9$140%50%90th$9Professionalmedian $28 · 10th–90th $16$660%5%10%10th90th$28$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $28.84 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $21.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $26.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $22.91
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $37.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $37.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $18.62 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $19.05 / $38.90