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Idaho rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $100 · 10th–90th $36$3160%5%10th90th$100Professionalmedian $59 · 10th–90th $19$1070%5%10%10th90th$59$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
TC
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $74.13 / $128.82
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
$18.20 / $27.54 / $64.57
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$234.42 / $281.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $40.74 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $245.47 / $389.05
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
BCBS
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $74.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $39.81 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $32.36 / $74.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $46.77 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $38.90 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $69.18 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $74.13 / $107.15
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $38.90 / $57.54
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$234.42 / $281.84 / $338.84
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $33.11 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $28.84 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $407.38
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $50.12 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $27.54 / $45.71
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $22.39 / $40.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $51.29 / $239.88
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $33.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.20 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $50.12 / $81.28