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Replacement Of A Contact Lens

North Carolina 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?

$37.15

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $33.88 to $43.65.

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.

How much rates vary

Professionalmedian $37 · 10th to 90th $30 to $55
$50$100professional $37

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
$29.51
Median
$37.15
Typical High
$43.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$31.62
Typical High
$44.67
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54

Where North Carolina 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.

North Carolina· 30th of 51

$37.15

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.