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Massachusetts rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $178 · 10th–90th $21$3240%10%20%10th90th$178Professionalmedian $49 · 10th–90th $19$1320%10%10th90th$49$1.0$10.0$100.0$1.0K$10.0K

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
$79.43 / $223.87 / $346.74
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $251.19 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $74.13 / $173.78
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$50.12 / $50.12 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $32.36 / $74.13
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
$26.92 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.88 / $48.98 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $269.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $51.29 / $131.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $43.65 / $141.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $77.62 / $416.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $30.90 / $131.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $41.69 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $190.55 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $66.07 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $39.81 / $53.70
BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$28.84 / $38.02 / $131.83
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $35.48 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $83.18 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $30.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $43.65 / $102.33
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $25.12 / $58.88
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $25.12 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $58.88 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $32.36 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $26.30 / $47.86
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $194.98 / $281.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $128.82 / $269.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $51.29 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $43.65 / $141.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $77.62 / $416.87
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $30.90 / $131.83
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $41.69 / $295.12
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $147.91 / $426.58
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $87.10 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.20 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $35.48 / $67.61