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Replacement Of A Contact Lens

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $31.62 to $39.81.

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 $37 · 10th to 90th $28 to $52
$50$100$200professional $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
$28.18
Median
$36.31
Typical High
$47.86
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$72.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$67.61
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$37.15
Typical High
$51.29
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$66.07

Where Pennsylvania 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.

Pennsylvania· 26th 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.