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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 October 2026.

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

$129

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $234 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$126$110 to $155
FacilityA hospital or hospital-owned outpatient department$234$148 to $339

How much rates vary

Facilitymedian $234 · 10th to 90th $110 to $427Professionalmedian $126 · 10th to 90th $107 to $214
$100$200$500$1Kfacility $234professional $126

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
$109.65
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$56.23
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$22.39
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$16.60
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$11.22
Typical High
$14.79
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$263.03
Typical High
$512.86
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$199.53
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$104.71
Typical High
$186.21
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$309.03
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$138.04
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$52.48
Median
$54.95
Typical High
$72.44
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.89
Median
$21.88
Typical High
$29.51
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$16.60
Typical High
$21.88
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.47
Median
$10.96
Typical High
$14.45
Priority Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$100.00
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$123.03
Typical High
$151.36

Where Michigan 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.

Michigan· 15th of 51

$129

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.