Cost analysis for CPT 92250 — Photography of the retina
Average Medicare Payment
$25.20
2023 data
Total Payments (2023)
$86.3M
Services (2023)
3.3M
Price Change (2014–2023)
-54.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $55.71 | $163.3M | 2.9M | — |
| 2015 | $55.72 | $167.3M | 2.9M | +0.0% |
| 2016 | $54.26 | $171.5M | 3.1M | -2.6% |
| 2017 | $44.47 | $147.6M | 3.2M | -18.0% |
| 2018 | $38.57 | $132.7M | 3.3M | -13.3% |
| 2019 | $35.03 | $126.4M | 3.5M | -9.2% |
| 2020 | $30.93 | $93.3M | 2.9M | -11.7% |
| 2021 | $27.17 | $92.1M | 3.3M | -12.2% |
| 2022 | $25.16 | $83.6M | 3.2M | -7.4% |
| 2023 | $25.20 | $86.3M | 3.3M | +0.2% |
The most expensive state pays 1.5x more than the cheapest for this procedure. DC averages $30.05 vs MP at $20.20.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $30.05 | $382.6K | 12.7K | 41 |
| NY | $29.64 | $8.9M | 298.8K | 1.7K |
| NJ | $29.54 | $4.8M | 162.3K | 928 |
| CA | $28.95 | $10.3M | 357.5K | 2.2K |
| AK | $28.90 | $195.1K | 6.8K | 81 |
| MD | $28.47 | $2.4M | 84.4K | 487 |
| CT | $28.41 | $1.4M | 47.5K | 433 |
| MA | $27.30 | $1.8M | 64.4K | 565 |
| HI | $26.60 | $770.4K | 29.0K | 182 |
| FL | $26.34 | $8.0M | 302.6K | 1.5K |
| RI | $26.22 | $360.3K | 13.7K | 154 |
| WA | $26.11 | $1.7M | 64.7K | 608 |
| DE | $25.78 | $289.8K | 11.2K | 75 |
| VA | $25.75 | $2.7M | 105.2K | 669 |
| GU | $25.69 | $33.2K | 1.3K | 6 |
| CO | $25.51 | $1.3M | 49.2K | 480 |
| IL | $25.38 | $3.0M | 116.5K | 922 |
| NV | $25.34 | $562.5K | 22.2K | 195 |
| PA | $25.25 | $3.7M | 146.1K | 1.3K |
| NH | $25.23 | $593.2K | 23.5K | 171 |
| TX | $25.19 | $5.5M | 216.6K | 1.8K |
| OR | $24.72 | $522.5K | 21.1K | 284 |
| MI | $24.67 | $1.9M | 78.6K | 745 |
| AZ | $24.64 | $1.6M | 64.0K | 470 |
| PR | $24.54 | $92.2K | 3.8K | 73 |
| GA | $24.51 | $1.8M | 71.7K | 619 |
| MN | $24.29 | $447.1K | 18.4K | 295 |
| SC | $24.10 | $1.5M | 61.0K | 419 |
| SD | $23.88 | $193.5K | 8.1K | 119 |
| OH | $23.85 | $1.7M | 69.6K | 752 |
| NC | $23.82 | $3.0M | 125.5K | 846 |
| WY | $23.81 | $210.0K | 8.8K | 76 |
| TN | $23.60 | $1.5M | 61.9K | 562 |
| ND | $23.49 | $200.7K | 8.5K | 110 |
| IA | $23.33 | $994.3K | 42.6K | 336 |
| MT | $23.32 | $268.0K | 11.5K | 121 |
| AL | $23.24 | $861.3K | 37.1K | 394 |
| IN | $23.21 | $1.2M | 50.8K | 536 |
| MO | $23.20 | $1.3M | 56.1K | 509 |
| ME | $23.16 | $305.9K | 13.2K | 147 |
| KY | $23.11 | $750.8K | 32.5K | 369 |
| NE | $22.91 | $576.2K | 25.2K | 208 |
| UT | $22.84 | $428.6K | 18.8K | 185 |
| NM | $22.83 | $150.0K | 6.6K | 84 |
| AP | $22.82 | $3.0K | 133 | 1 |
| WI | $22.71 | $492.7K | 21.7K | 284 |
| OK | $22.62 | $1.1M | 49.4K | 417 |
| ID | $22.62 | $362.5K | 16.0K | 170 |
| VT | $22.55 | $169.0K | 7.5K | 72 |
| KS | $22.41 | $1.2M | 52.6K | 356 |
| LA | $22.38 | $1.3M | 56.0K | 335 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Alexander Eaton | Ophthalmology | FL | $191.2K | 6.5K | $29.25 |
| Tanuj Banker | Ophthalmology | FL | $113.1K | 4.2K | $26.69 |
| Veronica Kon Graversen | Ophthalmology | FL | $97.9K | 3.4K | $28.79 |
| Mireille Hamparian | Ophthalmology | CA | $95.0K | 3.0K | $31.80 |
| George Tung | Ophthalmology | NY | $94.1K | 2.9K | $32.77 |
| Jason Flicker | Ophthalmology | NY | $91.2K | 2.7K | $33.56 |
| Joel Corwin | Ophthalmology | CA | $88.8K | 2.8K | $31.77 |
| Jeslyn Hwang | Optometry | NJ | $88.4K | 2.6K | $33.63 |
| Kevin Munson | Optometry | TX | $87.8K | 3.6K | $24.07 |
| Sunil Malkani | Ophthalmology | FL | $86.1K | 2.9K | $29.23 |
| Jeffrey Luttrull | Ophthalmology | CA | $82.8K | 2.7K | $30.93 |
| Hussein Wafapoor | Ophthalmology | FL | $81.4K | 3.0K | $27.54 |
| Thomas Baudo | Ophthalmology | FL | $79.8K | 2.8K | $28.95 |
| Szilard Kiss | Ophthalmology | NY | $78.4K | 2.3K | $33.67 |
| Aris Delianides | Ophthalmology | VA | $72.9K | 2.7K | $26.64 |
| Burton Wisotsky | Ophthalmology | NJ | $70.9K | 2.2K | $31.86 |
| John Rezapour | Ophthalmology | CA | $69.8K | 2.1K | $33.19 |
| Raoul Maizel | Ophthalmology | FL | $69.3K | 2.6K | $26.46 |
| David Warrow | Ophthalmology | MD | $65.4K | 2.3K | $27.92 |
| Sean Bahri | Ophthalmology | CA | $64.8K | 2.0K | $32.90 |
Based on the data, CPT 92250 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 54.8% 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.