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New Jersey 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 $117 · 10th–90th $117–$1320%20%40%90th$117Professionalmedian $23 · 10th–90th $17–$350%10%20%10th90th$23$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $34.67
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $26.30
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $27.54 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $38.02
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $131.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $31.62 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $33.88