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Unlisted Eye Service Or Procedure

Texas rates for HCPCS 92499

An eye examination, test or procedure for which no standard named entry exists. It is used when an eye specialist provides an uncommon or newly developed service that does not match any established description. The clinician submits a written account of exactly what was done.

Rates data updated October 2026.

How much does Unlisted Eye Service Or Procedure cost?

$58.88

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $67.61 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $30.20
FacilityA hospital or hospital-owned outpatient department$67.61$45.71 to $97.72

How much rates vary

Facilitymedian $68 · 10th to 90th $29 to $126Professionalmedian $30 · 10th to 90th $30 to $60
$20$100$500$2K$10Kfacility $68professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,981.07
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$69.18
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Moda Health
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Moda Health
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$60.26
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$45.71
Typical High
$60.26

Where Texas sits

The same service costs 912.0 times more in Wisconsin than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Texas· 23rd of 43

$58.88

WI $10,965IN $12.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.