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Fitting Of A Specialty Contact Lens For Keratoconus

Montana 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?

$158

Typical physician fee. In Montana, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $123 to $182.

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 $166 · 10th to 90th $120 to $224Professionalmedian $141 · 10th to 90th $83 to $214
$100$200facility $166professional $141

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
$125.89
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$218.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$229.09

Where Montana 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.

Montana· 1st of 51

$158

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.