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Utah rates for HCPCS 92081

Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)

Professionalmedian $22 · 10th–90th $13$490%10%10th90th$22$5.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $58.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.09 / $15.14 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $19.05 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.89 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $23.44 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $53.70
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $21.88 / $27.54
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $22.91 / $26.92
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $60.26
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $19.50 / $28.84
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $21.38 / $30.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $52.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $16.22 / $23.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $18.20 / $31.62