Cost analysis for CPT 92133 — Imaging of optic nerve
Average Medicare Payment
$23.63
2023 data
Total Payments (2023)
$65.1M
Services (2023)
2.7M
Price Change (2014–2023)
-23.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $30.93 | $72.7M | 2.3M | — |
| 2015 | $30.18 | $74.3M | 2.4M | -2.4% |
| 2016 | $29.27 | $76.0M | 2.5M | -3.0% |
| 2017 | $24.28 | $65.2M | 2.6M | -17.0% |
| 2018 | $24.76 | $67.4M | 2.6M | +2.0% |
| 2019 | $24.91 | $69.9M | 2.7M | +0.6% |
| 2020 | $24.54 | $57.4M | 2.3M | -1.5% |
| 2021 | $24.77 | $66.3M | 2.6M | +0.9% |
| 2022 | $23.76 | $64.2M | 2.6M | -4.1% |
| 2023 | $23.63 | $65.1M | 2.7M | -0.5% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $28.96 vs LA at $20.35.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $28.96 | $217.8K | 7.5K | 88 |
| NY | $27.98 | $5.6M | 198.5K | 1.5K |
| NJ | $27.70 | $2.3M | 82.0K | 710 |
| DC | $27.56 | $187.8K | 6.8K | 49 |
| CA | $27.27 | $7.8M | 286.7K | 1.9K |
| MD | $27.16 | $2.3M | 85.8K | 453 |
| CT | $27.09 | $786.6K | 29.0K | 337 |
| GU | $26.78 | $4.2K | 158 | 5 |
| HI | $26.17 | $459.0K | 17.5K | 168 |
| RI | $25.57 | $242.9K | 9.5K | 128 |
| MA | $25.34 | $2.2M | 88.8K | 626 |
| VA | $24.99 | $2.4M | 97.4K | 678 |
| DE | $24.99 | $412.4K | 16.5K | 105 |
| FL | $24.60 | $5.0M | 204.2K | 1.5K |
| PR | $24.51 | $53.7K | 2.2K | 66 |
| WA | $24.21 | $1.5M | 63.4K | 632 |
| IL | $24.15 | $2.5M | 102.0K | 984 |
| TX | $23.99 | $3.6M | 149.2K | 1.5K |
| PA | $23.89 | $3.1M | 129.4K | 1.3K |
| NV | $23.85 | $458.8K | 19.2K | 158 |
| NH | $23.66 | $518.3K | 21.9K | 170 |
| OR | $23.62 | $721.8K | 30.6K | 338 |
| GA | $23.51 | $1.5M | 65.4K | 615 |
| CO | $23.41 | $609.3K | 26.0K | 363 |
| AZ | $23.24 | $1.4M | 61.3K | 489 |
| MT | $23.22 | $270.8K | 11.7K | 135 |
| SC | $23.12 | $1.2M | 54.0K | 400 |
| MP | $22.95 | $3.1K | 133 | 4 |
| SD | $22.94 | $229.1K | 10.0K | 144 |
| MI | $22.81 | $1.4M | 63.2K | 760 |
| WY | $22.76 | $131.1K | 5.8K | 70 |
| MO | $22.73 | $1.0M | 46.1K | 524 |
| MN | $22.65 | $797.0K | 35.2K | 560 |
| AL | $22.46 | $649.1K | 28.9K | 383 |
| IN | $22.30 | $1.1M | 50.6K | 633 |
| TN | $22.27 | $1.1M | 49.2K | 560 |
| UT | $22.25 | $334.6K | 15.0K | 186 |
| ME | $22.20 | $266.2K | 12.0K | 170 |
| OK | $22.13 | $610.8K | 27.6K | 388 |
| KS | $22.12 | $675.3K | 30.5K | 383 |
| KY | $22.09 | $586.1K | 26.5K | 389 |
| NE | $21.93 | $484.3K | 22.1K | 240 |
| NC | $21.85 | $1.9M | 85.4K | 760 |
| OH | $21.79 | $1.7M | 79.5K | 929 |
| ID | $21.76 | $249.0K | 11.4K | 156 |
| VI | $21.58 | $10.3K | 479 | 5 |
| MS | $21.42 | $598.7K | 27.9K | 275 |
| NM | $21.32 | $211.2K | 9.9K | 124 |
| IA | $21.30 | $780.1K | 36.6K | 412 |
| VT | $21.10 | $189.0K | 9.0K | 90 |
| AR | $21.04 | $521.4K | 24.8K | 275 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Gregory Harmon | Ophthalmology | NY | $57.7K | 1.9K | $30.30 |
| Frank Cotter | Ophthalmology | VA | $56.0K | 2.4K | $23.65 |
| Joshua Ney | Ophthalmology | MA | $50.4K | 1.9K | $26.74 |
| Jeffrey Liebmann | Ophthalmology | NY | $48.3K | 1.7K | $27.83 |
| Harry Huang | Ophthalmology | MD | $47.5K | 1.7K | $28.64 |
| Irina Ganelis | Ophthalmology | CA | $44.6K | 1.4K | $32.36 |
| Howard Kushnick | Ophthalmology | PA | $41.2K | 1.7K | $23.88 |
| Madhu Agarwal | Ophthalmology | CA | $40.8K | 1.4K | $29.82 |
| Irina Pankova | Ophthalmology | NY | $40.5K | 1.3K | $31.46 |
| Ilona Genis | Ophthalmology | NY | $40.0K | 1.2K | $33.10 |
| Joseph Kerendian | Ophthalmology | CA | $39.6K | 1.3K | $30.54 |
| Robert Honkanen | Ophthalmology | NY | $38.2K | 1.3K | $29.60 |
| Houman Vosoghi | Ophthalmology | CA | $37.9K | 1.2K | $30.57 |
| Michael Grimmett | Ophthalmology | FL | $36.8K | 1.4K | $27.17 |
| Andrew Iwach | Ophthalmology | CA | $36.8K | 1.1K | $32.62 |
| Cuong-Dung Do | Ophthalmology | CA | $36.8K | 1.2K | $31.31 |
| Michael Stanko | Ophthalmology | NV | $35.3K | 1.6K | $22.39 |
| Timothy Smith | Optometry | DE | $34.6K | 1.3K | $25.85 |
| Jessica Moon | Ophthalmology | MA | $34.3K | 1.3K | $26.40 |
| Farhad Naseh | Ophthalmology | MD | $34.0K | 1.2K | $29.01 |
Based on the data, CPT 92133 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 23.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.