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Basic Peripheral Vision Test

Montana rates for HCPCS 92081

This is a test that maps out how much a patient can see to the sides while looking straight ahead, at a simpler level than a full, detailed peripheral vision map. It is used to screen for vision loss caused by conditions like glaucoma or certain neurological problems.

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $34$790%50%10th90th$58Professionalmedian $26 · 10th–90th $14$520%10%10th90th$26$10.0$20.0$50.0$100.0

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
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$43.65
Typical High
$48.98
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$20.42
Typical High
$35.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$12.59
Median
$23.44
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$52.48
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$53.70
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$22.39
Typical High
$25.70
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.22
Median
$25.12
Typical High
$28.18
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$79.43
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$77.62
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$53.70
Providence
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$22.39
Typical High
$25.70
Providence
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.22
Median
$24.55
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$81.28
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$26.30
Typical High
$30.90
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$28.84
Typical High
$50.12