CPT 92310

Rx&Fitg C-Lens Supvj Crnl Lens Ou Xcpt Aphk

CPT 92310 pays $100.87 in a non-facility setting and $48.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $91.21 in Arkansas to $122.79 in Alaska, a 35% spread.

National non-facility rate

$100.87

Office and other outpatient settings

Facility rate
$48.77

Hospital and ASC settings

Highest state
$122.79

Alaska

Lowest state
$91.21

Arkansas · 35% 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 $100.87
CPT 92310 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $100.87, national facility $48.77.
StateRate compared visuallyNon-facilityFacility
Alaska
$122.79$67.30
District of Columbia
$113.95$52.57
California
$112.24$50.59
New Jersey
$110.64$51.97
New York
$110.51$52.38
Washington
$110.04$50.64
Massachusetts
$109.06$50.52
Hawaii
$108.17$48.92
Connecticut
$106.78$50.66
Colorado
$104.68$49.24
Maryland
$104.12$49.80
Oregon
$103.76$48.87
Rhode Island
$103.34$49.51
Florida
$103.29$51.01
New Hampshire
$103.06$48.82
Puerto Rico
$101.50$48.82
Virgin Islands
$101.50$48.82
Illinois
$101.09$50.75
Minnesota
$100.98$47.36
Montana
$100.87$48.76
Nevada
$100.54$48.38
Wyoming
$100.26$48.16
Pennsylvania
$100.14$49.10
Delaware
$100.10$48.62
Texas
$99.98$48.68
North Dakota
$99.48$47.38
South Dakota
$99.32$47.21
Virginia
$99.16$47.94
Vermont
$99.11$47.53
Arizona
$98.66$48.17
Georgia
$98.61$48.90
Michigan
$98.14$49.21
Maine
$97.31$47.52
Utah
$97.00$48.03
Wisconsin
$96.71$46.80
New Mexico
$96.32$48.54
North Carolina
$95.98$47.36
South Carolina
$95.93$47.78
Missouri
$95.86$48.04
Louisiana
$95.72$48.15
Ohio
$95.63$48.06
Indiana
$95.26$46.95
Idaho
$94.80$46.87
Nebraska
$94.76$46.67
Iowa
$94.32$46.65
Tennessee
$94.29$46.92
Kentucky
$93.96$47.64
West Virginia
$93.96$48.68
Kansas
$93.91$46.80
Oklahoma
$93.88$47.35
Alabama
$92.30$46.71
Mississippi
$91.86$46.99
Arkansas
$91.21$46.45

Billed by 2 specialties

Commercial rates for 92310

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

See negotiated rates