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Detailed Retina Drawing and Evaluation, Initial

Minnesota 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 $66 · 10th–90th $60$720%20%40%10th90th$66Professionalmedian $56 · 10th–90th $24$910%5%10%10th90th$56$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
Facility
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$91.20
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$81.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$269.15