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Detailed Retina Drawing and Evaluation, Follow-Up

Pennsylvania 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 $21 · 10th–90th $18$310%50%10th90th$21$20.0$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
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.89
Typical High
$26.92
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$77.62