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California rates for HCPCS 92202

Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral

Facilitymedian $17 · 10th–90th $12$300%10%10th90th$17Professionalmedian $16 · 10th–90th $12$400%10%20%10th90th$16$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $39.81
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.05 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$19.50 / $23.99 / $30.20
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.42 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $37.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $16.22 / $28.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $125.89 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $26.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $39.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $52.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.14 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $26.92