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Fitting Of A Specialty Contact Lens For Keratoconus

Tennessee 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?

$100

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $91.20 to $126.

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 $91 · 10th to 90th $91 to $120Professionalmedian $100 · 10th to 90th $76 to $794
$100$200$500$1Kfacility $91professional $100

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
$91.20
Median
$91.20
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$117.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$58.88
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$23.44
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$17.78
Typical High
$23.99
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$11.75
Typical High
$15.85
Ambetter
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$100.00
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$100.00
Typical High
$114.82
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$100.00
Typical High
$131.83

Where Tennessee 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.

Tennessee· 45th of 51

$100

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.