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Detailed Retina Drawing and Evaluation, Follow-Up

Washington 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 does Detailed Retina Drawing and Evaluation, Follow-Up cost?

$269

Typical physician fee. In Washington, October 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $269 to $269.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $40Professionalmedian $269 · 10th to 90th $269 to $269
$20$50$100$200facility $20professional $269

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
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$50.12
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81

Where Washington sits

The same service costs 17.0 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 5th of 36

$269

KS $269CO $15.85

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.