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 October 2026.

How much rates vary

Professionalmedian $24 · 10th to 90th $20 to $46

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
Geisinger Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $32.36	Professional	None	$19.95	$22.91	$32.36
Oscar Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $48.98	Professional	None	$45.71	$45.71	$48.98