Detailed Retina Drawing and Evaluation, Initial

South Dakota 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 $33 · 10th to 90th $18 to $214

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 $14.13 Median $26.30 Typical High $48.98	Professional	None	$14.13	$26.30	$48.98
Medica Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $269.15	Professional	None	$213.80	$269.15	$269.15