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CMS October 2026Physician Fee Schedule · Free lookup

CPT 92136 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 92136 is $48.10 in a non-facility setting ($48.10 in a facility), up 186.0% from $16.82 in 2025.

National rate, October 2026
Non-facility
$48.10
Facility
$48.10
vs. 2025
+186.0%
Commercial national avg.
$86.33

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92136
20262025

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Physician Fee Schedule·92136·National·2026, 2025
Current non-facility rate
$48.10▼40.0%
Facility: $48.10
Recent trend
Code description

Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
9213610/2026N/A0000000$48.10$48.10Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
9213610/2026N/A0000000$30.06$30.06Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
9213610/2026N/A0000000$18.04$18.04Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2026N/A0000000$18.04$18.04Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2026N/A0000000$48.10$48.10Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2026N/A0000000$30.06$30.06Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2026N/A0000000$30.06$30.06Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2026N/A0000000$48.10$48.10Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2026N/A0000000$18.04$18.04Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2026N/A0000000$18.04$18.04Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2026N/A0000000$30.06$30.06Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2026N/A0000000$48.10$48.10Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
9213610/2025N/A0000000$16.82$16.82Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
9213610/2025N/A0000000$45.61$45.61Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
9213610/2025N/A0000000$28.79$28.79Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2025N/A0000000$16.82$16.82Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2025N/A0000000$45.61$45.61Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921367/2025N/A0000000$28.79$28.79Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2025N/A0000000$45.61$45.61Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2025N/A0000000$28.79$28.79Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921364/2025N/A0000000$16.82$16.82Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2025N/A0000000$16.82$16.82Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2025N/A0000000$28.79$28.79Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
921361/2025N/A0000000$45.61$45.61Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).

92136 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNon-facilityFacilityChange
October 2026$48.10$48.10+186.0%
October 2025$16.82$16.82-2.8%
March 2024$17.31$17.31-42.6%
January 2023$30.16$30.16-1.0%
July 2022$30.45$30.45-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

92136: Medicare vs. commercial national average

The commercial national average for 92136, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $86.33, 179% of Medicare's $48.10.

  • BCBS $77.86
  • UnitedHealthcare $87.54
  • Aetna $83.57
  • Cigna $96.35

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 92136 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

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Medicaid comparison

See what state Medicaid programs pay for 92136

50 state Medicaid agencies publish their own physician fee schedule. The 92136 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.