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Detailed Retina Drawing and Evaluation, Follow-Up

Wisconsin 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

Facilitymedian $72 · 10th to 90th $65 to $110Professionalmedian $50 · 10th to 90th $15 to $269
$20$50$100$200facility $72professional $50

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$72.44
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$20.89
Typical High
$37.15
Medica
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$269.15
Typical High
$269.15