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Detailed Retina Drawing and Evaluation, Initial

Pennsylvania 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 rates vary

Professionalmedian $23 · 10th to 90th $20 to $34
$20$50professional $23

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$48.98