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Peripheral Retina Exam With Drawing

Arizona rates for HCPCS 92201

This procedure examines the outer edges (periphery) of the retina, often using gentle indentation of the eye's outer wall to bring the far edges into view, and the findings are documented with a detailed hand drawing of the retina. It's used to closely evaluate for retinal tears, detachment risk, or other peripheral retina conditions, often in patients at higher risk due to certain eye conditions or trauma.

Rates data updated July 2026.

How much does Peripheral Retina Exam With Drawing cost?

$24.55

Typical physician fee. In Arizona, July 2026.

Insurers have agreed to pay about $24.55 for this service. Most negotiated rates run $21.38 to $26.92.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23 · 10th to 90th $19 to $46Professionalmedian $25 · 10th to 90th $19 to $32
$10$20$50$100facility $23professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$24.55
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.91
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.12
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$45.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.44
Typical High
$30.90

Where Arizona sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 19th of 51

$24.55

MT $31.62DE $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.