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Indiana 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 $21 · 10th–90th $17–$290%20%10th90th$21Professionalmedian $23 · 10th–90th $18–$440%10%20%10th90th$23$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.44 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$27.54 / $37.15 / $47.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $28.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.92 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $32.36