go back

Contact Lens Prescription And Adaptation Check

Pennsylvania 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?

$57.54

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $57.54 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $58 · 10th to 90th $17 to $91
$20$50$100$200$500professional $58

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
$17.38
Median
$57.54
Typical High
$91.20
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$57.54
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$173.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$56.23
Typical High
$91.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$97.72
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$51.29
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$42.66
Typical High
$97.72

Where Pennsylvania 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.

Pennsylvania· 16th of 51

$57.54

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.