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Detailed Retina Drawing and Evaluation, Follow-Up

Florida rates for HCPCS 92226

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?

$20.42

Typical physician fee. In Florida, July 2026.

Insurers have agreed to pay about $20.42 for this service. Most negotiated rates run $18.20 to $21.88.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $20 · 10th to 90th $17 to $40
$20.0$50.0$100.0professional $20

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
AvMed
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.05
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12

Where Florida sits

The same service costs 251.2 times more in California than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $20.42 · 34th of 34
CA $5,129FL $20.42

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.