CPT 92285

Xtrnl Ocular Photog W/I&R Docmt Med Progress

CPT 92285 pays $23.71 in a non-facility setting and $23.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $20.38 in Arkansas to $27.69 in District of Columbia, a 36% spread.

National non-facility rate

$23.71

Office and other outpatient settings

Facility rate
$23.71

Hospital and ASC settings

Highest state
$27.69

District of Columbia

Lowest state
$20.38

Arkansas · 36% 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 $23.71
CPT 92285 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $23.71, national facility $23.71.
StateRate compared visuallyNon-facilityFacility
District of Columbia
$27.69$27.69
California
$27.39$27.39
Washington
$26.62$26.62
New Jersey
$26.55$26.55
New York
$26.51$26.51
Hawaii
$26.36$26.36
Massachusetts
$26.30$26.30
Alaska
$25.64$25.64
Connecticut
$25.53$25.53
Colorado
$24.96$24.96
Maryland
$24.70$24.70
Oregon
$24.69$24.69
New Hampshire
$24.51$24.51
Florida
$24.42$24.42
Rhode Island
$24.38$24.38
Puerto Rico
$23.94$23.94
Virgin Islands
$23.94$23.94
Minnesota
$23.86$23.86
Montana
$23.71$23.71
Nevada
$23.62$23.62
Illinois
$23.61$23.61
Wyoming
$23.54$23.54
Delaware
$23.40$23.40
Pennsylvania
$23.34$23.34
Texas
$23.34$23.34
North Dakota
$23.32$23.32
South Dakota
$23.27$23.27
Vermont
$23.17$23.17
Virginia
$23.15$23.15
Arizona
$22.96$22.96
Georgia
$22.87$22.87
Michigan
$22.68$22.68
Maine
$22.51$22.51
Utah
$22.36$22.36
Wisconsin
$22.35$22.35
New Mexico
$22.07$22.07
North Carolina
$22.04$22.04
South Carolina
$21.99$21.99
Missouri
$21.94$21.94
Louisiana
$21.89$21.89
Ohio
$21.86$21.86
Indiana
$21.81$21.81
Idaho
$21.65$21.65
Nebraska
$21.65$21.65
Iowa
$21.49$21.49
Tennessee
$21.46$21.46
Kansas
$21.33$21.33
Kentucky
$21.29$21.29
Oklahoma
$21.28$21.28
West Virginia
$21.20$21.20
Alabama
$20.75$20.75
Mississippi
$20.57$20.57
Arkansas
$20.38$20.38

Billed by 2 specialties

Commercial rates for 92285

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

See negotiated rates