Detailed Retina Drawing and Evaluation, Initial

Maine 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.

How much rates vary

Professionalmedian $33 · 10th to 90th $26 to $44

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. 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
Anthem BCBS Setting Professional Modifier Global Typical Low $26.30 Median $33.11 Typical High $43.65	Professional	Global	$26.30	$33.11	$43.65