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Detailed Retina Drawing and Evaluation, Initial

Nationwide rates for HCPCS 92225

This covers a detailed hand-drawn or documented examination of the back of the eye, focused on the retina, performed with pupil dilation and specialized lenses. It is used to closely evaluate conditions such as a retinal tear, detachment, or a suspicious growth, going beyond a routine eye exam. This is the version performed as the first evaluation of the condition being tracked.

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $38$5,1290%20%10th90th$120Professionalmedian $55 · 10th–90th $21$2690%10%20%10th90th$55$20.0$100.0$500.0$2.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$51.29
Typical High
$97.72