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Contact Lens Prescription And Adaptation Check

New Jersey 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?

$48.98

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $19.95 to $79.43.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $78 · 10th to 90th $78 to $87Professionalmedian $49 · 10th to 90th $17 to $95
$20$50$100facility $78professional $49

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$48.98
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$54.95
Typical High
$151.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$131.83
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$87.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$36.31
Typical High
$95.50

Where New Jersey 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.

New Jersey· 33rd of 51

$48.98

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.