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Detailed Retina Drawing and Evaluation, Initial

New Jersey 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.

Professionalmedian $50 · 10th–90th $36$760%20%10th90th$50$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$85.11
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$67.61