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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 July 2026.

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

$46.77

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $37.15 to $46.77.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47 · 10th to 90th $24 to $47Professionalmedian $40 · 10th to 90th $30 to $76
$50facility $47professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$46.77
Typical High
$46.77

Where Washington sits

The same service costs 251.2 times more in California than in Florida. 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· 15th of 34

$46.77

CA $5,129FL $20.42

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.