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 October 2026.

How much rates vary

Professionalmedian $36 · 10th to 90th $31 to $85

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
Cigna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $85.11	Professional	None	$60.26	$66.07	$85.11
Horizon BCBS Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $77.62	Professional	None	$30.90	$36.31	$77.62