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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 July 2026.

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

$112

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $117 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$112$91.20 to $135
FacilityA hospital or hospital-owned outpatient department$117$100 to $141

How much rates vary

Facilitymedian $117 · 10th to 90th $89 to $174Professionalmedian $112 · 10th to 90th $85 to $174
$100$200$500facility $117professional $112

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
$85.11
Median
$112.20
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$162.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$181.97
Sentara
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$151.36
Sentara
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$162.18

Where Virginia 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.

Virginia· 23rd of 51

$112

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.