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Fitting Of A Specialty Contact Lens For Keratoconus

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $89.13 to $129.

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 $76 · 10th to 90th $68 to $91Professionalmedian $110 · 10th to 90th $81 to $158
$100$200facility $76professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$371.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$173.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$275.42
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$162.18

Where Michigan 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.

Michigan· 31st 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.