CPT 92325 Ophthalmology
Modification of contact lens Cost
Body System: Eye
Medicare Facility Rate
$47
CMS PFS CY2026
Medicare Non-Facility Rate
$47
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Frequently Asked Questions
How much does Modification of contact lens cost?
The Medicare facility rate is $47. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Modification of contact lens cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $47.