CPT 92325

Modificaj Contact Lens Spx Supvj Adaptation

CPT 92325 pays $46.76 in a non-facility setting and $46.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $40.05 in Arkansas to $55.12 in California, a 38% spread.

National non-facility rate

$46.76

Office and other outpatient settings

Facility rate
$46.76

Hospital and ASC settings

Highest state
$55.12

California

Lowest state
$40.05

Arkansas · 38% 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 $46.76
CPT 92325 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $46.76, national facility $46.76.
StateRate compared visuallyNon-facilityFacility
California
$55.12$55.12
District of Columbia
$55.06$55.06
Washington
$53.19$53.19
Hawaii
$52.98$52.98
New Jersey
$52.64$52.64
Massachusetts
$52.44$52.44
New York
$52.25$52.25
Connecticut
$50.41$50.41
Colorado
$49.66$49.66
Alaska
$49.63$49.63
Oregon
$49.15$49.15
Maryland
$48.76$48.76
New Hampshire
$48.62$48.62
Rhode Island
$48.26$48.26
Minnesota
$47.87$47.87
Puerto Rico
$47.27$47.27
Virgin Islands
$47.27$47.27
Florida
$47.23$47.23
Montana
$46.76$46.76
Nevada
$46.75$46.75
Wyoming
$46.67$46.67
North Dakota
$46.56$46.56
South Dakota
$46.54$46.54
Delaware
$46.17$46.17
Vermont
$46.13$46.13
Texas
$46.02$46.02
Virginia
$45.87$45.87
Pennsylvania
$45.83$45.83
Illinois
$45.50$45.50
Arizona
$45.27$45.27
Georgia
$44.69$44.69
Wisconsin
$44.58$44.58
Maine
$44.57$44.57
Michigan
$44.07$44.07
Utah
$43.94$43.94
North Carolina
$43.53$43.53
Indiana
$43.20$43.20
South Carolina
$43.18$43.18
Nebraska
$42.98$42.98
New Mexico
$42.97$42.97
Missouri
$42.93$42.93
Idaho
$42.87$42.87
Louisiana
$42.74$42.74
Ohio
$42.72$42.72
Iowa
$42.61$42.61
Tennessee
$42.38$42.38
Kansas
$42.14$42.14
Oklahoma
$41.72$41.72
Kentucky
$41.58$41.58
West Virginia
$40.82$40.82
Alabama
$40.81$40.81
Mississippi
$40.22$40.22
Arkansas
$40.05$40.05

Billed by 2 specialties

Commercial rates for 92325

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

See negotiated rates