CPT 92072

Fitting Contact Lens For Mgmt of Keratoconus 1st

CPT 92072 pays $120.24 in a non-facility setting and $76.49 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $112.22 in Arkansas to $155.78 in Alaska, a 39% spread.

National non-facility rate

$120.24

Office and other outpatient settings

Facility rate
$76.49

Hospital and ASC settings

Highest state
$155.78

Alaska

Lowest state
$112.22

Arkansas · 39% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $120.24
CPT 92072 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $120.24, national facility $76.49.
StateRate compared visuallyNon-facilityFacility
Alaska
$155.78$109.18
District of Columbia
$133.67$82.13
California
$132.61$80.84
New Jersey
$130.60$81.33
Washington
$130.00$80.12
New York
$129.85$81.04
Massachusetts
$128.91$79.75
Hawaii
$127.74$77.99
Connecticut
$125.89$78.77
Colorado
$124.51$77.95
Oregon
$123.65$77.55
Maryland
$123.47$77.86
Rhode Island
$123.27$78.07
New Hampshire
$122.49$76.94
Minnesota
$121.63$76.60
Puerto Rico
$120.85$76.62
Virgin Islands
$120.85$76.62
Florida
$120.75$76.84
Montana
$120.24$76.49
Nevada
$120.24$76.44
Wyoming
$120.16$76.40
North Dakota
$120.04$76.29
South Dakota
$120.02$76.27
Delaware
$119.86$76.63
Texas
$119.71$76.63
Pennsylvania
$119.70$76.84
Vermont
$119.52$76.20
Virginia
$119.20$76.19
Illinois
$118.89$76.61
Arizona
$118.47$76.07
Georgia
$117.84$76.10
Wisconsin
$117.67$75.75
Maine
$117.64$75.83
Michigan
$116.98$75.89
Utah
$116.86$75.73
North Carolina
$116.39$75.56
Indiana
$116.00$75.44
South Carolina
$115.95$75.52
Nebraska
$115.74$75.35
New Mexico
$115.68$75.56
Missouri
$115.65$75.49
Idaho
$115.60$75.35
Louisiana
$115.41$75.46
Ohio
$115.39$75.44
Iowa
$115.30$75.26
Tennessee
$115.01$75.24
Kansas
$114.72$75.17
Oklahoma
$114.20$75.13
Kentucky
$114.02$75.12
Alabama
$113.13$74.84
West Virginia
$113.08$75.06
Mississippi
$112.40$74.73
Arkansas
$112.22$74.63

Billed by 2 specialties

Commercial rates for 92072

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates