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Extended Eye Exam With Optic Nerve or Macula Drawing

Montana rates for HCPCS 92202

A detailed examination of the back of the eye focusing on the optic nerve or the macula, with a drawing of the findings and a written report included. It is used for conditions such as glaucoma and covers one or both eyes at the same charge.

Rates data updated July 2026.

How much does Extended Eye Exam With Optic Nerve or Macula Drawing cost?

$20.42

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $20.42 for this service. Most negotiated rates run $16.98 to $24.55.

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 $25 · 10th to 90th $16 to $26Professionalmedian $19 · 10th to 90th $13 to $26
$10$20$50facility $25professional $19

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
$10.47
Median
$18.62
Typical High
$20.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.39
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.42
Typical High
$26.30
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$26.92
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$26.92
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$15.85
Typical High
$23.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$22.39
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$38.02

Where Montana 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.

Montana· 1st of 51

$20.42

MT $20.42DE $13.80

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.