OCT scan of the retina

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ophth Dx Image Posterior Retina

Payers reporting CPT 92134

Payer pricing summary

Low

$31

Average

$114

Median

$92

High

$489

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +20 other terms	18	$26	$26	$8	30%	1,486–1,531	$14 – $38
2	Ucare professional · fee schedule · outpatient · +13 other terms	16	$23	$23	$8	34%	776–803	$11 – $38
3	Aetna fee schedule · outpatient · +31 other terms	436	$64	$149	$475	319%	—	$1 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	368	$110	$220	$635	289%	—	$1 – $14.4k
5	UnitedHealthcare fee schedule · outpatient · +35 other terms	343	$60	$97	$109	113%	—	$1 – $1.7k
6	Humana fee schedule · outpatient · +28 other terms	308	$63	$67	$29	43%	—	$1 – $189
7	Cigna fee schedule · outpatient · +27 other terms	192	$65	$153	$184	120%	—	$13 – $3.3k
8	WellCare fee schedule · outpatient · +17 other terms	142	$64	$67	$20	31%	—	$16 – $139
9	Molina fee schedule · outpatient · +27 other terms	137	$62	$73	$50	68%	—	$1 – $443
10	Anthem fee schedule · outpatient · +27 other terms	105	$58	$62	$68	110%	—	$14 – $653
11	Kaiser fee schedule · outpatient · +19 other terms	72	$85	$95	$85	89%	—	$13 – $523
12	Ambetter facility · fee schedule · outpatient · +14 other terms	70	$104	$199	$813	409%	—	$27 – $7.0k
13	Devoted fee schedule · outpatient · +12 other terms	68	$60	$53	$18	34%	—	$15 – $66
14	Oscar fee schedule · outpatient · +18 other terms	51	$109	$78	$52	67%	—	$1 – $168
15	Optum fee schedule · outpatient · +19 other terms	44	$55	$58	$44	76%	—	$14 – $218
16	Caresource facility · fee schedule · outpatient · +15 other terms	35	$91	$79	$37	47%	—	$0 – $203
17	Tricare fee schedule · outpatient · +15 other terms	30	$54	$58	$14	24%	—	$16 – $76
18	Clover fee schedule · outpatient · +10 other terms	26	$65	$63	$4	7%	—	$53 – $70
19	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$75	$75	$15	20%	—	$56 – $98
20	Medicare fee schedule · outpatient · +14 other terms	25	$15	$25	$20	79%	—	$13 – $66
21	Bcbs Tx fee schedule · outpatient · +2 other terms	24	$192	$181	$83	46%	—	$56 – $370
22	MultiPlan fee schedule · outpatient · +18 other terms	23	$98	$104	$36	35%	—	$24 – $281
23	Regence professional · fee schedule · outpatient · +14 other terms	23	$19	$26	$15	58%	—	$15 – $100
24	Aetna Better Health facility · fee schedule · outpatient · +19 other terms	22	$32	$34	$23	66%	—	$12 – $107
25	Medicaid fee schedule · outpatient · +14 other terms	22	$39	$37	$24	65%	—	$1 – $113

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