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Fitting Of A Specialty Contact Lens For Keratoconus

Florida 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?

$89.13

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $91.20 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$91.20$77.62 to $120

How much rates vary

Facilitymedian $91 · 10th to 90th $76 to $123Professionalmedian $89 · 10th to 90th $66 to $120
$100$200facility $91professional $89

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$77.62
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$89.13
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$44.67
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$17.78
Typical High
$20.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$13.49
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$8.91
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
AvMed
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$97.72
Typical High
$123.03
AvMed
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$93.33
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$87.10
Typical High
$117.49
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$97.72
Typical High
$138.04
Molina
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$134.90
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$89.13
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where Florida 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.

Florida· 50th of 51

$89.13

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.