CPT 92202

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

CPT 92202 pays $15.70 in a non-facility setting and $11.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.55 in Arkansas to $20.18 in Alaska, a 39% spread.

National non-facility rate

$15.70

Office and other outpatient settings

Facility rate
$11.69

Hospital and ASC settings

Highest state
$20.18

Alaska

Lowest state
$14.55

Arkansas · 39% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $15.70
CPT 92202 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $15.70, national facility $11.69.
StateRate compared visuallyNon-facilityFacility
Alaska
$20.18$15.91
District of Columbia
$17.44$12.71
California
$17.13$12.39
New Jersey
$17.04$12.53
New York
$17.03$12.55
Washington
$16.87$12.30
Massachusetts
$16.75$12.25
Hawaii
$16.52$11.96
Connecticut
$16.48$12.16
Colorado
$16.17$11.91
Maryland
$16.13$11.95
Oregon
$16.05$11.83
Rhode Island
$16.05$11.91
Florida
$16.04$12.02
New Hampshire
$15.94$11.77
Illinois
$15.80$11.92
Puerto Rico
$15.77$11.72
Virgin Islands
$15.77$11.72
Montana
$15.70$11.69
Minnesota
$15.67$11.54
Nevada
$15.65$11.64
Pennsylvania
$15.65$11.73
Delaware
$15.62$11.66
Texas
$15.61$11.67
Wyoming
$15.61$11.60
North Dakota
$15.50$11.49
South Dakota
$15.48$11.47
Virginia
$15.48$11.54
Vermont
$15.46$11.50
Georgia
$15.45$11.63
Arizona
$15.43$11.55
Michigan
$15.41$11.64
Maine
$15.26$11.43
Utah
$15.24$11.48
New Mexico
$15.18$11.51
Wisconsin
$15.17$11.33
Missouri
$15.12$11.44
South Carolina
$15.12$11.41
North Carolina
$15.11$11.37
Louisiana
$15.10$11.44
Ohio
$15.09$11.43
Indiana
$15.01$11.30
Idaho
$14.96$11.27
Nebraska
$14.95$11.25
West Virginia
$14.92$11.44
Tennessee
$14.91$11.26
Iowa
$14.90$11.23
Kentucky
$14.89$11.33
Oklahoma
$14.87$11.29
Kansas
$14.86$11.24
Alabama
$14.68$11.17
Mississippi
$14.64$11.19
Arkansas
$14.55$11.10

Billed by 1 specialties

Commercial rates for 92202

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates