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Virginia rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $56 · 10th–90th $23$3090%5%10%10th90th$56Professionalmedian $40 · 10th–90th $17$950%10%10th90th$40$5.0$20.0$100.0$500.0$2.0K$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
$42.66 / $46.77 / $223.87
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.12 / $25.12
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $295.12 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $52.48 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.12 / $58.88
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$77.62 / $89.13 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$30.20 / $41.69 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $23.99 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $26.30 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$52.48 / $74.13 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $22.39 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $35.48 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $19.50 / $24.55
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $19.05 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $74.13 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $28.18 / $44.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $46.77 / $79.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.44 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $19.95 / $25.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $114.82
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $34.67 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $69.18 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $47.86 / $109.65
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $57.54 / $147.91
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.20 / $45.71
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $43.65 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $54.95 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $61.66 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $26.30 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $36.31 / $75.86