Retinal photography with interpretation and report

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

PHOTOGRAPHY OF THE RETINA

Payers reporting CPT 92250

Payer pricing summary

Low

$35

Average

$178

Median

$163

High

$515

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +38 other terms	332	$129	$138	$169	122%	53–62	$1 – $3.8k
2	Humana fee schedule · outpatient · +30 other terms	291	$131	$169	$490	290%	32	$1 – $8.3k
3	Kaiser fee schedule · outpatient · +23 other terms	67	$189	$192	$165	86%	15	$14 – $913
4	Medica professional · fee schedule · outpatient · +21 other terms	19	$30	$29	$9	30%	14–32	$16 – $43
5	Ucare professional · fee schedule · outpatient · +16 other terms	18	$27	$27	$15	56%	3–30	$12 – $141
6	Aetna fee schedule · outpatient · +31 other terms	418	$136	$253	$490	194%	—	$1 – $8.4k
7	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	369	$208	$391	$1.2k	307%	—	$1 – $15.6k
8	Cigna fee schedule · outpatient · +29 other terms	181	$133	$268	$111	41%	—	$14 – $688
9	Molina fee schedule · outpatient · +29 other terms	134	$135	$126	$86	68%	—	$1 – $443
10	WellCare fee schedule · outpatient · +21 other terms	124	$135	$135	$54	40%	—	$16 – $302
11	Anthem fee schedule · outpatient · +27 other terms	98	$121	$91	$120	131%	—	$16 – $974
12	Ambetter fee schedule · outpatient · +19 other terms	66	$233	$214	$91	43%	—	$20 – $434
13	Devoted fee schedule · outpatient · +15 other terms	61	$130	$120	$39	33%	—	$16 – $149
14	Oscar fee schedule · outpatient · +20 other terms	51	$246	$167	$126	75%	—	$1 – $380
15	Optum fee schedule · outpatient · +21 other terms	50	$120	$120	$100	83%	—	$16 – $491
16	Caresource fee schedule · outpatient · +20 other terms	35	$167	$172	$32	19%	—	$1 – $227
17	Highmark facility · fee schedule · outpatient · +17 other terms	28	$121	$112	$99	89%	—	$15 – $584
18	MultiPlan fee schedule · outpatient · +20 other terms	27	$205	$183	$81	44%	—	$27 – $463
19	Clover fee schedule · outpatient · +14 other terms	26	$141	$138	$8	6%	—	$120 – $152
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$169	$168	$34	20%	—	$127 – $221
21	Medicare fee schedule · outpatient · +16 other terms	25	$16	$50	$54	109%	—	$14 – $148
22	Regence professional · fee schedule · outpatient · +18 other terms	25	$18	$26	$21	80%	—	$15 – $189
23	Tricare fee schedule · outpatient · +19 other terms	25	$121	$102	$36	35%	—	$34 – $170
24	Aetna Better Health facility · fee schedule · outpatient · +19 other terms	23	$73	$85	$111	130%	—	$15 – $500
25	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	23	$92	$94	$33	35%	—	$40 – $133

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