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Nationwide rates for HCPCS 92201

Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateral

Facilitymedian $31 · 10th–90th $20$680%10%20%10th90th$31Professionalmedian $25 · 10th–90th $18$520%20%10th90th$25$1.0$5.0$20.0$100.0$500.0$2.0K

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
$47.86 / $95.50 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $48.98
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$32.36 / $107.15 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $27.54 / $53.70
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$28.84 / $39.81 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $47.86