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Fitting Of A Specialty Contact Lens For Keratoconus

New Jersey 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?

$81.28

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $63.10 to $112.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $71 to $145Professionalmedian $81 · 10th to 90th $50 to $145
$50$100$200facility $89professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$89.13
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$89.13
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$44.67
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$17.78
Typical High
$28.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.47
Median
$13.49
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$8.91
Typical High
$14.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$85.11
Typical High
$123.03
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$181.97
Typical High
$181.97
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$134.90
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$64.57
Typical High
$87.10

Where New Jersey 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.

New Jersey· 51st of 51

$81.28

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.