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Wisconsin 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)

Facilitymedian $49 · 10th–90th $30$1170%10%10th90th$49Professionalmedian $27 · 10th–90th $14$680%10%10th90th$27$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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $57.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.14 / $25.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $16.98 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $61.66 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $30.20 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $33.11 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $104.71 / $144.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $48.98 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $32.36 / $38.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $35.48 / $44.67
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $93.33
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $33.11 / $43.65
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $36.31 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $97.72
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $47.86 / $354.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $19.95 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $25.70 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $44.67 / $107.15
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $22.39 / $39.81
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $24.55 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $66.07 / $109.65
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $208.93 / $208.93
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $194.98 / $363.08
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $81.28 / $97.72
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $120.23 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $117.49 / $117.49
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $43.65 / $48.98
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $26.30 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $54.95 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $19.05 / $37.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $21.88 / $42.66