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Indiana rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $324 · 10th–90th $18$5500%20%10th90th$324Professionalmedian $43 · 10th–90th $17$1200%5%10th90th$43$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
$30.90 / $323.59 / $380.19
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $13.18 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $158.49
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 / $24.55 / $56.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $141.25 / $144.54
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $21.88 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $19.05 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.32 / $10.23 / $10.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $407.38 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $23.44 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$58.88 / $104.71 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $45.71 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $134.90 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $66.07 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $27.54 / $48.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $35.48 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $66.07 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.44 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $31.62 / $64.57