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Fitting Of A Specialty Contact Lens For Keratoconus

Virginia 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?

$107

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $135 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$107$87.10 to $129
FacilityA hospital or hospital-owned outpatient department$135$105 to $195

How much rates vary

Facilitymedian $135 · 10th to 90th $87 to $10,233Professionalmedian $107 · 10th to 90th $74 to $155
$50$200$1K$5Kfacility $135professional $107

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
Facility
Modifier
None
Typical Low
$87.10
Median
$112.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$112.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$56.23
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.38
Median
$22.39
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$16.98
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$11.22
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$120.23
Typical High
$165.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$97.72
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$162.18
Medcost
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$239.88
Medcost
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$177.83
Sentara
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$134.90
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$134.90
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$83.18
Typical High
$120.23

Where Virginia 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.

Virginia· 37th of 51

$107

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.