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Contact Lens Prescription And Adaptation Check

Massachusetts rates for HCPCS 92317

Determining the optical and physical specifications a contact lens must meet for a particular eye, then supervising how well the eye adapts to it and directing adjustments. It covers the professional judgement and the follow-up involved, not the lens itself.

Rates data updated July 2026.

How much does Contact Lens Prescription And Adaptation Check cost?

$54.95

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $19.95 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$56.23$21.88 to $83.18
FacilityA hospital or hospital-owned outpatient department$19.95$12.02 to $24.55

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $33Professionalmedian $56 · 10th to 90th $18 to $132
$10$20$50$100$200facility $20professional $56

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
$16.98
Median
$54.95
Typical High
$95.50
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$302.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$57.54
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$42.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$58.88
Typical High
$204.17
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$28.84
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$138.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$61.66
Typical High
$218.78
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$302.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$57.54
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$46.77
Typical High
$186.21

Where Massachusetts sits

The same service costs 1.9 times more in Alaska than in Alabama. 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.

Massachusetts· 25th of 51

$54.95

AK $70.79AL $38.02

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.