Detailed Retina Drawing and Evaluation, Initial

Kentucky 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 $28 · 10th to 90th $23 to $31

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
Cigna Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $31.62	Professional	None	$16.60	$25.12	$31.62
Molina Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $30.90	Professional	None	$23.44	$29.51	$30.90