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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.

How much does Detailed Retina Drawing and Evaluation, Initial cost?

$57.54

Typical physician fee. In Minnesota, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $43.65 to $72.44.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66 · 10th to 90th $60 to $72Professionalmedian $56 · 10th to 90th $24 to $91
$20$50$100$200facility $66professional $56

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
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

Where Minnesota sits

The same service costs 239.9 times more in California than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 12th of 34

$57.54

CA $5,129MS $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.