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Illinois rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $107 · 10th–90th $18$2950%5%10%10th90th$107Professionalmedian $51 · 10th–90th $19$1170%5%10th90th$51$1.0$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
$32.36 / $151.36 / $288.40
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $30.90 / $47.86
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $51.29 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $70.79 / $151.36
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
$18.20 / $28.84 / $69.18
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$50.12 / $234.42 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.92 / $41.69 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $26.30 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $26.92 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.32 / $10.23 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $12.59 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $38.02 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $38.90 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $134.90
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $36.31 / $117.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $30.90 / $114.82
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $44.67 / $47.86
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $26.30
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $19.50 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $89.13 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $66.07 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.30 / $41.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $37.15 / $69.18