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Fitting Of A Specialty Contact Lens For Keratoconus

Ohio 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?

$97.72

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $83.18 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $105 · 10th to 90th $79 to $347Professionalmedian $98 · 10th to 90th $69 to $129
$100$200facility $105professional $98

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
$79.43
Median
$104.71
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$104.71
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$52.48
Typical High
$53.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$20.89
Typical High
$21.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$10.47
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$120.23
Typical High
$123.03
Aultcare
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
CareSource
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$95.50
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$97.72
Typical High
$107.15
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$128.82
Typical High
$194.98
SummaCare
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$93.33
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$93.33
Typical High
$123.03

Where Ohio 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.

Ohio· 48th of 51

$97.72

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.