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Contact Lens Fitting For An Eye Without A Lens

South Dakota rates for HCPCS 92316

Covers working out the optical and physical specifications for a contact lens for an eye that has no natural lens inside it, with the fitting itself carried out by a technician working under the clinician's direction. An eye with no lens needs a strong, individually specified correction, so the measurements and the follow-up checks are more involved than for an ordinary contact lens. Adaptation is supervised until the lens sits and performs correctly.

Rates data updated July 2026.

How much does Contact Lens Fitting For An Eye Without A Lens cost?

$77.62

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $33.88 to $112.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $78 · 10th to 90th $27 to $174Professionalmedian $78 · 10th to 90th $30 to $145
$20$50$100$200facility $78professional $78

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
$29.51
Median
$45.71
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$75.86
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$85.11
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$186.21
Typical High
$245.47
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$117.49
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$38.90
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$66.07
Typical High
$147.91
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$213.80

Where South Dakota sits

The same service costs 1.9 times more in Oregon than in Michigan. 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· 6th of 51

$77.62

OR $87.10MI $46.77

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.