Follow-up extended eye exam with retinal drawing

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

IMN - RETINOPATHY (ROP) ADD'L

Payers reporting CPT 92226

Payer pricing summary

Low

Average

$104

Median

$56

High

$670

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	42	$129	$1.5k	$3.4k	229%	—	$18 – $15.6k
2	Humana fee schedule · outpatient · +10 other terms	34	$41	$415	$1.5k	364%	—	$27 – $8.3k
3	Anthem fee schedule · outpatient · +6 other terms	22	$18	$44	$83	191%	—	$18 – $653
4	Wellmark fee schedule · both · +2 other terms	13	$35	$35	$3	9%	—	$33 – $40
5	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	12	$24	$25	$8	31%	—	$15 – $44
6	Highmark fee schedule · outpatient · +3 other terms	10	$24	$24	$1	3%	—	$22 – $24
7	Tricare fee schedule · outpatient · +2 other terms	10	$54	$54	—	—	—	$54 – $54
8	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$86	$87	$29	33%	—	$44 – $107
9	Cigna fee schedule · both · +11 other terms	6	$45	$54	$17	32%	—	$39 – $87
10	UnitedHealthcare fee schedule · outpatient · +13 other terms	6	$113	$168	$180	107%	—	$15 – $720
11	Aetna fee schedule · outpatient · +12 other terms	5	$176	$270	$167	62%	—	$115 – $472
12	First Health fee schedule · both · +5 other terms	5	$21	$21	—	—	—	$21 – $21
13	Molina fee schedule · outpatient · +7 other terms	5	$148	$180	$97	54%	—	$110 – $443
14	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$21	$21	—	—	—	$21 – $21
15	Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +2 other terms	3	$20	$20	$12	63%	—	$7 – $32
16	Medcost professional · fee schedule · inpatient · +1 other terms	3	$33	$33	—	—	—	$33 – $33
17	Medicaid fee schedule · outpatient · +1 other terms	3	$113	$113	—	—	—	$113 – $113
18	Phcs professional · percent of total billed charges · inpatientfrom % of charges · +2 other terms	3	$57	$57	$36	63%	—	$21 – $94
19	WellCare fee schedule · outpatient · +1 other terms	3	$114	$114	$0	0%	—	$114 – $115
20	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$72	$72	—	—	—	$72 – $72
21	Amerihealth Caritas case rate · outpatient · +1 other terms	2	$37	$37	—	—	—	$37 – $37
22	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	2	$22	$22	$5	21%	—	$17 – $27
23	Bcbs Nj facility · other · outpatient · +2 other terms	2	$60	$60	$3	5%	—	$57 – $63
24	Clover facility · other · outpatient	2	$60	$60	$3	5%	—	$57 – $63
25	Healthpartners professional · fee schedule · both · +2 other terms	2	$58	$58	$10	18%	—	$48 – $68

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