go back

Detailed Retina Drawing and Evaluation, Follow-Up

Minnesota 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?

$51.29

Typical physician fee. In Minnesota, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $38.90 to $66.07.

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

Facilitymedian $62 · 10th to 90th $56 to $68Professionalmedian $51 · 10th to 90th $21 to $85
$20$50$100$200facility $62professional $51

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
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$51.29
Typical High
$85.11
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$269.15

Where Minnesota 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.

Minnesota· 12th of 34

$51.29

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.