Detailed Retina Drawing and Evaluation, Follow-Up

New Mexico 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 $41 · 10th to 90th $30 to $85

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $30.20 Median $38.02 Typical High $51.29	Professional	None	$30.20	$38.02	$51.29
Molina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11	Professional	None	$85.11	$85.11	$85.11