What is the top of the local market (P90) for CPT 92004 under Florida Blue for Urban Honolulu, HI providers?

The P90, the top of the local market and Reddenda's target rate, is $187.

How does Florida Blue's rate for CPT 92004 compare to Medicare?

The Florida Blue local median of $187 is 125% of Medicare's national non-facility rate of $149.64 for CPT 92004.

Reddenda · Rate Intelligence · Urban Honolulu, HI

92004 under Florida Blue, for Urban Honolulu, HI providers

Name: Florida Blue rates for CPT 92004 among Urban Honolulu, HI providers
Creator: Reddenda

Eye exam, new patient, comprehensive · Local peer median $187 · Medium confidence

$187 local peer median. Florida Blue's published rate file lists a local peer median of $187 for CPT 92004 (Eye exam, new patient, comprehensive) among 699 indexed providers in Urban Honolulu, HI. Where a Blue Cross entity’s label carries a state, that state names the file we found the rate in, not the provider’s location. Blue Cross plans file separately per state and do not share rates, even for the same provider. The top of that filed distribution, the P90 target, is $187, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below this median is being paid less than peers holding the identical Florida Blue contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 699 providers · 699 rate records

P10

$149.60

P25

$180.91

Median

$187

P75

$187

P90 (target)

$187

P10$149.60

P25$180.91

Median (P50)$187

P75$187

P90 target$187

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $88.60 – $548.41

The local peer median for CPT 92004 under Florida Blue for Urban Honolulu, HI providers is $187, drawn from 699 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
The bottom of the local market (P10) is $149.60 and the top (P90) is $187; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
The lowest published rate in this market is $88.60; the highest is $548.41.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
This benchmark is drawn from 699 individual rate records that Florida Blue itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
Medicare's national non-facility rate for CPT 92004 is $149.64, making the Florida Blue local median 125% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
58.7% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

699 providers bill this code to this payer in this metro.

Find yourself on this curve. Enter your NPI: no account, no email, no PHI.

Free, forever, unmetered. Possession-channel verification only if you choose to claim the record; looking is always free.

See where your rate lands

These are the rates Florida Blue publishes for CPT 92004 (Eye exam, new patient, comprehensive) among Urban Honolulu, HI providers. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

Run a free RateScore on your NPI → Talk to us about Florida Blue

Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Florida Blue's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Florida Blue to publish this rate. Page generated 2026-08-24 03:17 UTC; the live index is queried in real time on every request.