go back

Replacement Of A Contact Lens

New York 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?

$38.02

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $38.02 for this service. Most negotiated rates run $31.62 to $48.98.

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 $38 · 10th to 90th $30 to $79
$50$100$200professional $38

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
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$102.33
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$123.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$79.43
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$81.28
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$46.77
Typical High
$97.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$81.28

Where New York 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.

New York· 22nd of 51

$38.02

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.