Extended eye exam of optic nerve and macula

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

Opscpy Extnd Optic Nrv/Macula Drawing I&R Uni/Bi

Payers reporting CPT 92202

Payer pricing summary

Low

$15

Average

$85

Median

$80

High

$317

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +29 other terms	403	$63	$152	$656	432%	—	$1 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	322	$60	$85	$112	131%	—	$1 – $1.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	308	$92	$128	$89	70%	—	$0 – $448
4	Humana fee schedule · outpatient · +24 other terms	253	$60	$57	$18	32%	—	$1 – $170
5	Cigna fee schedule · outpatient · +24 other terms	174	$61	$85	$62	73%	—	$12 – $305
6	WellCare fee schedule · outpatient · +14 other terms	134	$66	$70	$24	35%	—	$15 – $139
7	Molina fee schedule · outpatient · +21 other terms	129	$62	$80	$57	72%	—	$1 – $443
8	Anthem fee schedule · outpatient · +22 other terms	95	$70	$76	$91	120%	—	$14 – $653
9	Devoted fee schedule · outpatient · +10 other terms	68	$60	$55	$16	28%	—	$14 – $66
10	Kaiser fee schedule · outpatient · +15 other terms	65	$84	$89	$81	90%	—	$12 – $452
11	Ambetter facility · fee schedule · outpatient · +12 other terms	52	$100	$230	$945	410%	—	$22 – $7.0k
12	Oscar fee schedule · outpatient · +15 other terms	51	$109	$79	$53	67%	—	$1 – $168
13	Optum fee schedule · outpatient · +15 other terms	39	$55	$62	$49	79%	—	$13 – $218
14	Bcbs Tx fee schedule · outpatient · +1 other terms	27	$202	$185	$85	46%	—	$56 – $370
15	Caresource facility · fee schedule · outpatient · +11 other terms	27	$91	$86	$23	27%	—	$45 – $117
16	Clover fee schedule · outpatient · +9 other terms	26	$65	$63	$4	7%	—	$53 – $70
17	Medicare fee schedule · outpatient · +12 other terms	21	$14	$22	$18	82%	—	$13 – $66
18	Regence professional · fee schedule · outpatient · +9 other terms	21	$15	$16	$5	32%	—	$14 – $38
19	Medicaid fee schedule · outpatient · +10 other terms	20	$14	$26	$36	136%	—	$1 – $113
20	Aetna Better Health fee schedule · outpatient · +16 other terms	18	$37	$32	$18	56%	—	$12 – $56
21	First Health fee schedule · outpatient · +10 other terms	17	$62	$69	$35	51%	—	$14 – $170
22	Highmark fee schedule · outpatient · +7 other terms	16	$55	$55	$40	72%	—	$9 – $297
23	Medica professional · fee schedule · outpatient · +11 other terms	16	$16	$16	$2	14%	—	$12 – $23
24	MultiPlan fee schedule · outpatient · +17 other terms	16	$98	$91	$21	23%	—	$16 – $98
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	15	$56	$70	$44	63%	—	$30 – $222

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