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Fitting Of A Specialty Contact Lens For Keratoconus

New Mexico 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?

$112

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $87.10 to $135.

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 $74 · 10th to 90th $74 to $98Professionalmedian $112 · 10th to 90th $74 to $166
$100$200facility $74professional $112

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
$74.13
Median
$74.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$128.82
Typical High
$165.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$63.10
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$25.70
Typical High
$33.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$19.05
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$12.88
Typical High
$16.60
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$87.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$162.18
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$104.71
Typical High
$173.78
Providence
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$107.15
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$131.83
Typical High
$181.97

Where New Mexico 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 Mexico· 32nd of 51

$112

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.