Detailed Retina Drawing and Evaluation, Initial

Florida 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 October 2026.

How much rates vary

Professionalmedian $23 · 10th to 90th $19 to $40

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
AvMed Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $25.70	Professional	None	$19.05	$22.39	$25.70
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $70.79	Professional	None	$39.81	$39.81	$70.79