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Replacement Of A Contact Lens

Illinois rates for HCPCS 92326

Covers supplying a replacement for a contact lens that was already prescribed and fitted, when the original is lost, torn or damaged. The replacement matches the prescription already on record. It does not include a new eye examination or a fresh fitting.

Rates data updated October 2026.

How much does Replacement Of A Contact Lens cost?

$42.66

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $117 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$33.88 to $58.88
FacilityA hospital or hospital-owned outpatient department$117$85.11 to $251

How much rates vary

Facilitymedian $117 · 10th to 90th $76 to $437Professionalmedian $43 · 10th to 90th $32 to $71
$50$100$200$500facility $117professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$33.88
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$33.88
Typical High
$36.31
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$117.49
Typical High
$478.63
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$54.95
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$67.61
Typical High
$70.79
Hally Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$43.65
Typical High
$81.28
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$37.15
Typical High
$67.61

Where Illinois sits

The same service costs 3.3 times more in Alaska than in Florida. 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.

Illinois· 19th of 51

$42.66

AK $93.33FL $28.18

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.