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 October 2026.

How much does Detailed Retina Drawing and Evaluation, Follow-Up cost?

$16.98

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $95.50 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$16.98	$15.85 to $39.81
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$95.50	$69.18 to $132

How much rates vary

Facilitymedian $95 · 10th to 90th $56 to $200Professionalmedian $17 · 10th to 90th $13 to $69

Distribution of negotiated rates across all payers (price axis is log-scale). 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 Minnesota Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $204.17	Facility	None	$100.00	$114.82	$204.17
Cigna Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $239.88	Facility	None	$56.23	$81.28	$239.88
Cigna Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $58.88	Professional	None	$12.59	$16.98	$58.88
Health Partners Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $186.21	Facility	None	$50.12	$79.43	$186.21
Health Partners Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $56.23	Professional	None	$12.59	$16.60	$56.23
Medica Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $269.15	Professional	None	$181.97	$181.97	$269.15

Where Minnesota sits

The same service costs 17.0 times more in Kansas than in Colorado. 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· 35th of 36

$16.98

KS $269CO $15.85

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.