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Fitting Of A Specialty Contact Lens For Keratoconus

Colorado rates for HCPCS 92072

This service is the fitting of a specialized contact lens for a person with keratoconus, a condition in which the cornea becomes thin and develops an irregular, cone-like shape. The lens is custom-fitted to improve vision by compensating for the cornea's irregular surface, and this covers the initial fitting process.

Rates data updated October 2026.

How much does Fitting Of A Specialty Contact Lens For Keratoconus cost?

$123

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $138 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$100 to $138
FacilityA hospital or hospital-owned outpatient department$138$100 to $155

How much rates vary

Facilitymedian $138 · 10th to 90th $100 to $195Professionalmedian $123 · 10th to 90th $95 to $166
$100$200facility $138professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$128.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$102.33
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$44.67
Median
$51.29
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$20.89
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$15.49
Typical High
$20.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$10.23
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$114.82
Typical High
$151.36
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$134.90
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$147.91
Typical High
$181.97
Select Health
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$154.88
Typical High
$263.03
Select Health
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$97.72
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$165.96

Where Colorado sits

The same service costs 4.1 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 19th of 51

$123

AK $331NJ $81.28

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.