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 track a known condition such as a retinal tear, detachment, or suspicious growth over time. This is the follow-up version of the exam, used after the condition has already been evaluated once.
Rates data updated July 2026.
How much does Detailed Retina Drawing and Evaluation, Follow-Up cost?
$5,129
Typical physician fee. In California, July 2026.
Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $269 to $5,129.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $5,129 · 10th to 90th $123 to $5,129Professionalmedian $269 · 10th to 90th $98 to $269
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Facility
Global
$5,128.61
$5,128.61
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$72.44
Typical High
$114.82
Professional
Global
$12.59
$72.44
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$831.76
Professional
Global
$128.82
$134.90
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Facility
Global
$120.23
$120.23
$123.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Professional
Global
$269.15
$269.15
$269.15
Where California sits
The same service costs 251.2 times more in California than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.