CPT 92311

Rx&Fitg Contact Lens Corneal Lens Aphakia 1 Eye

CPT 92311 pays $98.87 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $89.76 in Arkansas to $120.38 in Alaska, a 34% spread.

National non-facility rate

$98.87

Office and other outpatient settings

Facility rate
$42.09

Hospital and ASC settings

Highest state
$120.38

Alaska

Lowest state
$89.76

Arkansas · 34% 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 $98.87
CPT 92311 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $98.87, national facility $42.09.
StateRate compared visuallyNon-facilityFacility
Alaska
$120.38$59.90
District of Columbia
$112.09$45.21
California
$111.60$44.41
Washington
$108.79$44.05
New Jersey
$108.70$44.76
New York
$107.99$44.64
Massachusetts
$107.65$43.86
Hawaii
$107.42$42.86
Connecticut
$104.52$43.37
Colorado
$103.28$42.86
Oregon
$102.45$42.63
Maryland
$102.05$42.85
Rhode Island
$101.59$42.94
New Hampshire
$101.43$42.32
Minnesota
$100.47$42.04
Puerto Rico
$99.56$42.15
Virgin Islands
$99.56$42.15
Florida
$99.39$42.42
Montana
$98.87$42.08
Nevada
$98.87$42.04
Wyoming
$98.78$42.00
North Dakota
$98.67$41.89
South Dakota
$98.64$41.86
Delaware
$98.25$42.15
Vermont
$98.07$41.85
Texas
$98.05$42.15
Pennsylvania
$97.90$42.29
Virginia
$97.69$41.87
Illinois
$97.15$42.29
Arizona
$96.85$41.83
Georgia
$96.07$41.90
Wisconsin
$95.97$41.57
Maine
$95.92$41.66
Michigan
$95.13$41.81
Utah
$95.02$41.65
North Carolina
$94.49$41.52
Indiana
$94.06$41.43
South Carolina
$93.99$41.53
Nebraska
$93.77$41.36
New Mexico
$93.67$41.60
Missouri
$93.64$41.53
Idaho
$93.61$41.37
Louisiana
$93.36$41.52
Ohio
$93.35$41.51
Iowa
$93.27$41.32
Tennessee
$92.94$41.32
Kansas
$92.61$41.28
Oklahoma
$92.00$41.30
Kentucky
$91.79$41.32
Alabama
$90.79$41.11
West Virginia
$90.70$41.35
Mississippi
$89.96$41.07
Arkansas
$89.76$40.98

Billed by 2 specialties

Commercial rates for 92311

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

See negotiated rates