Detailed Retina Drawing and Evaluation, Initial

New York 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 $19 · 10th to 90th $19 to $19

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $19.50 Median $19.50 Typical High $19.50	Professional	GL · Free upgrade	$19.50	$19.50	$19.50