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Iowa rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $234 · 10th–90th $30$7080%5%10%10th90th$234Professionalmedian $52 · 10th–90th $17$1200%5%10%10th90th$52$5.0$20.0$100.0$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
$52.48 / $218.78 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $331.13 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$50.12 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $25.70 / $77.62
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $281.84 / $436.52
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $87.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $19.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $43.65 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $43.65 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $60.26 / $154.88
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $31.62 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $24.55 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $134.90 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $398.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $38.02 / $131.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $57.54 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $144.54
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $51.29 / $64.57
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $45.71 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $97.72 / $138.04
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $52.48 / $54.95
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $45.71 / $93.33
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $707.95 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $35.48 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $77.62 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $31.62 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $41.69 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $44.67
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $30.20 / $35.48