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Washington rates for HCPCS 92250

Fundus photography with interpretation and report

Facilitymedian $72 · 10th–90th $31$3240%10%10th90th$72Professionalmedian $52 · 10th–90th $20$1150%10%10th90th$52$5.0$20.0$100.0$500.0$2.0K

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
$67.61 / $181.97 / $1,258.93
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $43.65 / $60.26
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $138.04 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $69.18 / $125.89
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
$19.05 / $26.92 / $97.72
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
$38.02 / $38.02 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $29.51 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.90 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $23.44 / $33.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $691.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $120.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $39.81 / $57.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $32.36 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $36.31 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $50.12 / $100.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $100.00 / $245.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.44 / $40.74 / $245.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $54.95 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $93.33 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $38.90 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $50.12 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $102.33
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $107.15
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $51.29
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $27.54 / $28.18
Premera BCBS
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $21.88 / $22.91
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $107.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $40.74 / $58.88
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $35.48 / $50.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $691.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $39.81 / $52.48
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $32.36 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $489.78 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $83.18 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $32.36 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $42.66 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $43.65 / $81.28
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $23.99 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $20.42 / $38.90