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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 October 2026.

How much does Fitting Of A Specialty Contact Lens For Keratoconus cost?

$166

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $245 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$123 to $204
FacilityA hospital or hospital-owned outpatient department$245$204 to $251

How much rates vary

Facilitymedian $245 · 10th to 90th $148 to $257Professionalmedian $166 · 10th to 90th $81 to $251
$100$200facility $245professional $166

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$165.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$61.66
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$24.55
Typical High
$33.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$18.62
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$12.30
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$104.71
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$181.97
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$245.47
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$165.96
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$61.66
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$24.55
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.78
Median
$18.62
Typical High
$25.12
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$12.30
Typical High
$16.60
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$245.47
Typical High
$251.19
Providence
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$245.47
Typical High
$323.59
Providence
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$177.83
Typical High
$245.47
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$186.21
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$173.78
Typical High
$239.88

Where Oregon 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.

Oregon· 2nd of 51

$166

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.