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Arizona rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $72 · 10th–90th $21$2630%5%10th90th$72Professionalmedian $48 · 10th–90th $17$1170%5%10th90th$48$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $79.43 / $363.08
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $16.98 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $70.79 / $147.91
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $25.70 / $63.10
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$81.28 / $234.42 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $43.65 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $25.12 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $15.14 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $186.21 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $23.44 / $95.50
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $18.62 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.01 / $22.91 / $33.11
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.70 / $48.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $44.67 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $112.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $141.25 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $75.86 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $26.92 / $131.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $50.12 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $54.95 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $63.10 / $102.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $23.44 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $40.74 / $69.18