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Basic Peripheral Vision Test

Nebraska 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 $52 · 10th–90th $26$720%10%10th90th$52Professionalmedian $23 · 10th–90th $14$740%10%10th90th$23$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
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$77.62
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$15.14
Typical High
$20.42
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$13.80
Median
$16.60
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$69.18
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.45
Median
$23.44
Typical High
$33.11
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.49
Median
$25.12
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$63.10
Typical High
$85.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.88
Median
$30.20
Typical High
$41.69
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$13.80
Median
$32.36
Typical High
$42.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$52.48
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$354.81
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$21.88
Typical High
$97.72
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.85
Median
$22.39
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$85.11
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$36.31
Typical High
$42.66
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.11
Median
$40.74
Typical High
$43.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$81.28
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$31.62
Median
$35.48
Typical High
$38.90
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$38.90
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$87.10
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$22.39
Typical High
$41.69
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$22.39
Typical High
$46.77