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Replacement Of A Contact Lens

Massachusetts 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 July 2026.

How much does Replacement Of A Contact Lens cost?

$38.90

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $33.11 to $52.48.

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.

How much rates vary

Professionalmedian $39 · 10th to 90th $28 to $100
$50$100$200professional $39

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
$26.92
Median
$37.15
Typical High
$52.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$52.48
Typical High
$125.89
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$39.81
Typical High
$64.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$112.20
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$109.65

Where Massachusetts sits

The same service costs 1.6 times more in Montana than in Washington, DC. 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· 17th of 51

$38.90

MT $52.48DC $33.11

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.