Detailed Retina Drawing and Evaluation, Follow-Up

New Jersey 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

Professionalmedian $34 · 10th to 90th $28 to $78

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
Cigna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $77.62	Professional	None	$52.48	$57.54	$77.62
Horizon BCBS Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $70.79	Professional	None	$28.18	$33.88	$70.79