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Detailed Retina Drawing and Evaluation, Initial

California 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 $5,129 · 10th–90th $123$5,1290%50%10th$5,129Professionalmedian $269 · 10th–90th $105$2690%50%10th$269$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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$81.28
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15