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Fitting Of A Specialty Contact Lens For Keratoconus

Oregon 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?

$138

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $219 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$107 to $186
FacilityA hospital or hospital-owned outpatient department$219$151 to $245

How much rates vary

Facilitymedian $219 · 10th to 90th $105 to $251Professionalmedian $129 · 10th to 90th $87 to $251
$100$200facility $219professional $129

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
$87.10
Median
$117.49
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$275.42
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$251.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$208.93
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$288.40

Where Oregon 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.

Oregon· 2nd of 51

$138

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.