What do doctors typically charge for Exam of Retinal Blood Vessels using a Special Camera After Injection of a Dye?

The nationwide median physician charge for Exam of Retinal Blood Vessels using a Special Camera After Injection of a Dye (CPT 92235) is $270.80. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 92235?

The standard insurance baseline reimbursement rate is $134.64. This represents the customary allowable amount established across standard fee schedules.

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CPT 92235Medical Service

Exam of Retinal Blood Vessels using a Special Camera After Injection of a Dye

Exam of retinal blood vessels using a special camera after injection of a dye. Clinical pricing breakdown and utilization metrics across 2,192 practicing doctors nationwide.

$270.80

Peer Median Charge

Gross billed rate

$134.64

Standard Baseline

Customary allowable

2.0x

National Markup

Charge vs baseline

2,192

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $270.80. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $134.64 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 92235 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"