# CPT 92284: Dark adaptation examination

Medicare CPT 92284 pays $33.07 in a non-facility setting and $33.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $29.49 in Arkansas to $38.94 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/92284-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $33.07 |
| National facility | $33.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $38.94 | $38.94 |
| District of Columbia | $37.75 | $37.75 |
| California | $37.32 | $37.32 |
| New Jersey | $36.51 | $36.51 |
| Washington | $36.45 | $36.45 |
| New York | $36.42 | $36.42 |
| Massachusetts | $36.08 | $36.08 |
| Hawaii | $35.94 | $35.94 |
| Connecticut | $35.17 | $35.17 |
| Colorado | $34.51 | $34.51 |
| Maryland | $34.22 | $34.22 |
| Oregon | $34.19 | $34.19 |
| New Hampshire | $33.93 | $33.93 |
| Rhode Island | $33.93 | $33.93 |
| Florida | $33.78 | $33.78 |
| Puerto Rico | $33.31 | $33.31 |
| Virgin Islands | $33.31 | $33.31 |
| Minnesota | $33.26 | $33.26 |
| Montana | $33.07 | $33.07 |
| Nevada | $32.98 | $32.98 |
| Illinois | $32.93 | $32.93 |
| Wyoming | $32.89 | $32.89 |
| Delaware | $32.77 | $32.77 |
| Pennsylvania | $32.73 | $32.73 |
| Texas | $32.71 | $32.71 |
| North Dakota | $32.67 | $32.67 |
| South Dakota | $32.62 | $32.62 |
| Vermont | $32.51 | $32.51 |
| Virginia | $32.48 | $32.48 |
| Arizona | $32.26 | $32.26 |
| Georgia | $32.16 | $32.16 |
| Michigan | $31.94 | $31.94 |
| Maine | $31.79 | $31.79 |
| Wisconsin | $31.64 | $31.64 |
| Utah | $31.62 | $31.62 |
| New Mexico | $31.29 | $31.29 |
| North Carolina | $31.28 | $31.28 |
| South Carolina | $31.22 | $31.22 |
| Missouri | $31.16 | $31.16 |
| Louisiana | $31.10 | $31.10 |
| Ohio | $31.07 | $31.07 |
| Indiana | $31.04 | $31.04 |
| Nebraska | $30.88 | $30.88 |
| Idaho | $30.87 | $30.87 |
| Iowa | $30.71 | $30.71 |
| Tennessee | $30.66 | $30.66 |
| Kansas | $30.52 | $30.52 |
| Kentucky | $30.45 | $30.45 |
| Oklahoma | $30.45 | $30.45 |
| West Virginia | $30.34 | $30.34 |
| Alabama | $29.90 | $29.90 |
| Mississippi | $29.69 | $29.69 |
| Arkansas | $29.49 | $29.49 |

## Related codes

- 92060: Sensorimotor examination with multiple measurements of ocular deviation — https://www.med-reveal.com/rates/92060-cpt-fee-schedule
- 92065: Orthoptic/pleoptic training — https://www.med-reveal.com/rates/92065-cpt-fee-schedule
- 92081: Visual field examination, unilateral or bilateral, limited — https://www.med-reveal.com/rates/92081-cpt-fee-schedule
- 92082: Visual field examination, intermediate — https://www.med-reveal.com/rates/92082-cpt-fee-schedule
- 92083: Visual field examination, extended — https://www.med-reveal.com/rates/92083-cpt-fee-schedule
- 92132: Computerized corneal topography — https://www.med-reveal.com/rates/92132-cpt-fee-schedule
- 92133: Computerized ophthalmic diagnostic imaging, optic nerve — https://www.med-reveal.com/rates/92133-cpt-fee-schedule
- 92134: Computerized ophthalmic diagnostic imaging, retina — https://www.med-reveal.com/rates/92134-cpt-fee-schedule

Commercial negotiated rates for 92284 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules