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Fitting Of A Specialty Contact Lens For Keratoconus

Georgia 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?

$120

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $97.72 to $138.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $102 · 10th to 90th $89 to $117Professionalmedian $120 · 10th to 90th $89 to $174
$100$200facility $102professional $120

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
$89.13
Median
$102.33
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$44.67
Median
$51.29
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$20.89
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$15.49
Typical High
$19.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$10.23
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$123.03
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$128.82
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$147.91
Typical High
$331.13
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$141.25
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$120.23
Typical High
$186.21

Where Georgia 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.

Georgia· 20th of 51

$120

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.