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Detailed Retina Drawing and Evaluation, Follow-Up

Michigan 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 rates vary

Professionalmedian $58 · 10th to 90th $15 to $102
$20.0$50.0$100.0professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$57.54
Typical High
$102.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$52.48
Typical High
$97.72