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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 July 2026.

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

$110

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $89.13 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 $87 · 10th to 90th $87 to $87Professionalmedian $110 · 10th to 90th $74 to $182
$50$100$200$500facility $87professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$218.78
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$208.93

Where Illinois sits

The same service costs 1.6 times more in Montana than in Washington, DC. 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· 35th of 51

$110

MT $158DC $100

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.