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Detailed Retina Drawing and Evaluation, Follow-Up

Iowa 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.

Facilitymedian $37 · 10th–90th $37$370%50%100%$37Professionalmedian $39 · 10th–90th $17$2690%10%10th90th$39$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$181.97
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12