Detailed Retina Drawing and Evaluation, Follow-Up

South Dakota 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 $30 · 10th to 90th $15 to $182

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 $12.59 Median $23.44 Typical High $44.67	Professional	None	$12.59	$23.44	$44.67
Medica Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $269.15	Professional	None	$181.97	$269.15	$269.15