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Detailed Retina Drawing and Evaluation, Initial

Iowa 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 $40 · 10th–90th $40$400%50%100%$40Professionalmedian $44 · 10th–90th $18$2690%10%10th90th$44$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$46.77
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$213.80
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$43.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70