CPT 92326

Replacement of Contact Lens

CPT 92326 pays $39.08 in a non-facility setting and $39.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.45 in Arkansas to $46.03 in California, a 38% spread.

National non-facility rate

$39.08

Office and other outpatient settings

Facility rate
$39.08

Hospital and ASC settings

Highest state
$46.03

California

Lowest state
$33.45

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 $39.08
CPT 92326 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $39.08, national facility $39.08.
StateRate compared visuallyNon-facilityFacility
California
$46.03$46.03
District of Columbia
$46.01$46.01
Washington
$44.43$44.43
Hawaii
$44.25$44.25
New Jersey
$43.99$43.99
Massachusetts
$43.81$43.81
New York
$43.68$43.68
Connecticut
$42.13$42.13
Colorado
$41.49$41.49
Alaska
$41.45$41.45
Oregon
$41.06$41.06
Maryland
$40.75$40.75
New Hampshire
$40.63$40.63
Rhode Island
$40.32$40.32
Minnesota
$39.97$39.97
Florida
$39.52$39.52
Puerto Rico
$39.50$39.50
Virgin Islands
$39.50$39.50
Montana
$39.08$39.08
Nevada
$39.06$39.06
Wyoming
$38.99$38.99
North Dakota
$38.88$38.88
South Dakota
$38.86$38.86
Delaware
$38.58$38.58
Vermont
$38.53$38.53
Texas
$38.45$38.45
Virginia
$38.32$38.32
Pennsylvania
$38.31$38.31
Illinois
$38.08$38.08
Arizona
$37.83$37.83
Georgia
$37.36$37.36
Maine
$37.23$37.23
Wisconsin
$37.22$37.22
Michigan
$36.85$36.85
Utah
$36.72$36.72
North Carolina
$36.36$36.36
Indiana
$36.08$36.08
South Carolina
$36.08$36.08
New Mexico
$35.93$35.93
Nebraska
$35.89$35.89
Missouri
$35.88$35.88
Idaho
$35.80$35.80
Louisiana
$35.72$35.72
Ohio
$35.71$35.71
Iowa
$35.58$35.58
Tennessee
$35.40$35.40
Kansas
$35.19$35.19
Oklahoma
$34.86$34.86
Kentucky
$34.75$34.75
West Virginia
$34.15$34.15
Alabama
$34.09$34.09
Mississippi
$33.61$33.61
Arkansas
$33.45$33.45

Billed by 2 specialties

Commercial rates for 92326

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

See negotiated rates