Vision screening test for both eyes

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

SCREENING OF VISUAL FUNCTION

Payers reporting CPT 99172

Payer pricing summary

Low

Average

$792

Median

$37

High

$20k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	158	$140	$143	$89	62%	—	$0 – $829
2	Humana fee schedule · outpatient · +14 other terms	147	$68	$160	$774	482%	—	$10 – $8.3k
3	UnitedHealthcare fee schedule · both · +19 other terms	50	$33	$29	$17	57%	—	$10 – $81
4	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$191	$175	$64	37%	—	$56 – $322
5	Anthem fee schedule · both · +13 other terms	29	$10	$25	$53	209%	—	$8 – $278
6	Aetna fee schedule · outpatient · +15 other terms	27	$19	$982	$2.2k	220%	—	$1 – $8.4k
7	Cigna fee schedule · both · +18 other terms	27	$27	$27	$25	94%	—	$6 – $105
8	Caresource fee schedule · outpatient · +3 other terms	17	$70	$57	$24	43%	—	$10 – $70
9	Molina facility · case rate · outpatient · +8 other terms	15	$58	$63	$15	23%	—	$40 – $98
10	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$4	$4	$1	32%	—	$2 – $8
11	Wellmark fee schedule · both · +2 other terms	13	$43	$42	$3	7%	—	$23 – $43
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$14	$14	$4	28%	—	$7 – $18
13	Medica fee schedule · outpatient · +8 other terms	12	$27	$26	$9	35%	—	$3 – $37
14	Regence fee schedule · outpatient · +5 other terms	12	$16	$17	$5	27%	—	$12 – $42
15	Optum facility · case rate · outpatient · +5 other terms	11	$54	$60	$13	22%	—	$49 – $89
16	Highmark fee schedule · outpatient · +5 other terms	10	$18	$18	$0	2%	—	$17 – $18
17	Tricare fee schedule · outpatient · +10 other terms	10	$60	$60	—	—	—	$60 – $60
18	Aetna Better Health fee schedule · inpatient · +2 other terms	9	$17	$27	$19	70%	—	$17 – $62
19	Ucare fee schedule · both · +2 other terms	9	$12	$12	$0	2%	—	$12 – $13
20	First Health fee schedule · both · +9 other terms	5	$15	$15	$8	50%	—	$5 – $23
21	Ambetter fee schedule · both · +6 other terms	4	$0	$0	—	—	—	$0 – $0
22	WellCare percent of total billed charges · bothfrom % of charges	4	$10	$9	$3	35%	—	$3 – $10
23	Amerihealth Caritas percent of total billed charges · bothfrom % of charges	3	$16	$17	$4	25%	—	$12 – $22
24	Excellus professional · fee schedule · both	3	$21	$28	$10	37%	—	$21 – $43
25	Carefirst fee schedule · outpatient · +1 other terms	2	$367	$367	—	—	—	$367 – $367

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