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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 July 2026.

How much does Replacement Of A Contact Lens cost?

$41.69

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $36.31 to $47.86.

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

Professionalmedian $42 · 10th to 90th $32 to $69
$50$100professional $42

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
$31.62
Median
$39.81
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$69.18
Typical High
$104.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$91.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$85.11

Where South Dakota 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.

South Dakota· 10th of 51

$41.69

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.