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Contact Lens Prescription And Adaptation Check

North Carolina 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?

$45.71

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $67.61 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 6 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$45.71$20.89 to $81.28
FacilityA hospital or hospital-owned outpatient department$67.61$23.44 to $87.10

How much rates vary

Facilitymedian $68 · 10th to 90th $21 to $110Professionalmedian $46 · 10th to 90th $18 to $91
$20$50$100$200facility $68professional $46

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
$19.05
Median
$58.88
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$45.71
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$54.95
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$67.61
Typical High
$109.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$30.20
Typical High
$83.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$707.95

Where North Carolina 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.

North Carolina· 35th of 51

$45.71

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.