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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.

Facilitymedian $62 · 10th–90th $56$680%20%40%10th90th$62Professionalmedian $51 · 10th–90th $21$850%10%10th90th$51$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
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