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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 July 2026.

Facilitymedian $110 · 10th–90th $110$1320%20%40%90th$110Professionalmedian $42 · 10th–90th $20$2690%10%20%10th90th$42$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.88
Typical High
$60.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$269.15
Typical High
$269.15