# CPT 92316: Rx&fitg C-lens Tech Crnl Lens Aphakia Both Eyes

Medicare CPT 92316 pays $97.86 in a non-facility setting and $26.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $87.06 in Arkansas to $113.64 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/92316-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $97.86 |
| National facility | $26.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $113.64 | $37.52 |
| District of Columbia | $112.53 | $28.33 |
| California | $112.34 | $27.76 |
| Washington | $109.06 | $27.58 |
| New Jersey | $108.54 | $28.06 |
| Hawaii | $108.07 | $26.80 |
| Massachusetts | $107.77 | $27.46 |
| New York | $107.76 | $28.01 |
| Connecticut | $104.19 | $27.21 |
| Colorado | $102.89 | $26.83 |
| Oregon | $101.99 | $26.69 |
| Maryland | $101.39 | $26.87 |
| New Hampshire | $100.92 | $26.51 |
| Rhode Island | $100.74 | $26.90 |
| Minnesota | $99.82 | $26.27 |
| Puerto Rico | $98.69 | $26.43 |
| Virgin Islands | $98.69 | $26.43 |
| Florida | $98.43 | $26.72 |
| Nevada | $97.88 | $26.33 |
| Montana | $97.86 | $26.39 |
| Wyoming | $97.78 | $26.30 |
| North Dakota | $97.67 | $26.19 |
| South Dakota | $97.64 | $26.16 |
| Delaware | $97.04 | $26.42 |
| Vermont | $96.94 | $26.18 |
| Texas | $96.79 | $26.42 |
| Pennsylvania | $96.54 | $26.53 |
| Virginia | $96.48 | $26.22 |
| Illinois | $95.70 | $26.63 |
| Arizona | $95.48 | $26.21 |
| Georgia | $94.50 | $26.30 |
| Wisconsin | $94.46 | $25.99 |
| Maine | $94.38 | $26.09 |
| Michigan | $93.40 | $26.28 |
| Utah | $93.30 | $26.11 |
| North Carolina | $92.69 | $26.00 |
| Indiana | $92.18 | $25.92 |
| South Carolina | $92.08 | $26.03 |
| Nebraska | $91.84 | $25.87 |
| New Mexico | $91.67 | $26.12 |
| Idaho | $91.65 | $25.89 |
| Missouri | $91.64 | $26.05 |
| Louisiana | $91.32 | $26.06 |
| Ohio | $91.30 | $26.04 |
| Iowa | $91.25 | $25.84 |
| Tennessee | $90.84 | $25.87 |
| Kansas | $90.45 | $25.84 |
| Oklahoma | $89.71 | $25.88 |
| Kentucky | $89.46 | $25.91 |
| Alabama | $88.28 | $25.74 |
| West Virginia | $88.12 | $26.01 |
| Mississippi | $87.28 | $25.74 |
| Arkansas | $87.06 | $25.66 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92316 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
