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Kentucky rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $28 · 10th–90th $12$3160%5%10th90th$28Professionalmedian $46 · 10th–90th $18$1150%5%10th90th$46$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 / $275.42 / $316.23
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $21.88 / $21.88
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $295.12 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $69.18 / $144.54
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 / $24.55 / $63.10
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $234.42 / $338.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$16.60 / $41.69 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $22.91 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$7.76 / $10.00 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $45.71 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $19.95 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$58.88 / $69.18 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $25.70 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $79.43
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
$37.15 / $85.11 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $33.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $52.48 / $147.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $48.98 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $22.39 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $38.02 / $58.88