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 October 2026.

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

$18.20

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $105 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$18.20	$17.78 to $43.65
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$105	$74.13 to $151

How much rates vary

Facilitymedian $105 · 10th to 90th $60 to $214Professionalmedian $18 · 10th to 90th $14 to $78

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
BCBS Minnesota Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $229.09	Facility	None	$114.82	$128.82	$229.09
Cigna Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $257.04	Facility	None	$60.26	$91.20	$257.04
Cigna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $66.07	Professional	None	$14.13	$18.20	$66.07
Health Partners Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $204.17	Facility	None	$53.70	$87.10	$204.17
Health Partners Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $63.10	Professional	None	$14.13	$18.20	$63.10
Medica Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15	Professional	None	$213.80	$213.80	$269.15

Where Minnesota sits

The same service costs 15.1 times more in Massachusetts than in Colorado. 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· 35th of 36

$18.20

MA $269CO $17.78

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.