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Fitting Of A Specialty Contact Lens For Keratoconus

South Dakota 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?

$129

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $100 to $178.

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.

How much rates vary

Facilitymedian $120 · 10th to 90th $79 to $245Professionalmedian $129 · 10th to 90th $87 to $269
$100$200facility $120professional $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
$316.23
Avera
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$251.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$263.03

Where South Dakota 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.

South Dakota· 5th of 51

$129

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.