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Fitting Of A Specialty Contact Lens For Keratoconus

Illinois 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?

$112

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $240 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$95.50 to $138
FacilityA hospital or hospital-owned outpatient department$240$151 to $912

How much rates vary

Facilitymedian $240 · 10th to 90th $107 to $1,585Professionalmedian $112 · 10th to 90th $79 to $155
$100$200$500$1K$2Kfacility $240professional $112

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
$74.13
Median
$97.72
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$48.98
Typical High
$54.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$19.50
Typical High
$21.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$14.79
Typical High
$16.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$9.77
Typical High
$10.96
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$398.11
Typical High
$1,621.81
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$125.89
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$120.23
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$114.82
Typical High
$316.23
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$112.20
Typical High
$173.78

Where Illinois 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.

Illinois· 31st of 51

$112

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.