Detailed Retina Drawing and Evaluation, Follow-Up

Illinois 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 October 2026.

How much rates vary

Facilitymedian $71 · 10th to 90th $47 to $191Professionalmedian $16 · 10th to 90th $13 to $21

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
BCBS Illinois Setting Facility Modifier None Typical Low $46.77 Median $70.79 Typical High $190.55	Facility	None	$46.77	$70.79	$190.55
Cigna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $21.38	Professional	None	$12.59	$15.85	$21.38