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Fitting Of A Specialty Contact Lens For Keratoconus

Massachusetts 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?

$117

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $87.10 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$93.33 to $166
FacilityA hospital or hospital-owned outpatient department$87.10$52.48 to $105

How much rates vary

Facilitymedian $87 · 10th to 90th $45 to $135Professionalmedian $117 · 10th to 90th $81 to $263
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $87professional $117

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$165.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$588.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$323.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$125.89
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$316.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$588.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$281.84

Where Massachusetts sits

The same service costs 1.6 times more in Montana than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $117 · 12th of 51
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.