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Replacement Of A Contact Lens

South Dakota 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?

$56.23

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $39.81 to $72.44.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $68 · 10th to 90th $51 to $85Professionalmedian $56 · 10th to 90th $32 to $120
$50$100$200facility $68professional $56

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$39.81
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$58.88
Typical High
$83.18
Medica
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$85.11
Medica
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$35.48
Typical High
$354.81
Midlands
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$72.44
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$37.15
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$72.44
Typical High
$85.11

Where South Dakota 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.

South Dakota· 6th of 51

$56.23

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.