go back

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 July 2026.

Professionalmedian $45 · 10th–90th $34$680%20%10th90th$45$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$77.62
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$60.26