Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 92317 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
C Lens Fitg Tech Corneosclrl, Prescription Of Optical And Physical Characteristics Of Contact Lens With Medical Supervision Of Adaptation And Direction Of Fitting By Independent Technician Corneoscleral Lens
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | GY - Notice of Liability Not Issued, Not Required Under Payer Policy. LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $83.50 national non-facility rate (2026) · View Medicare rates for 92317 |
| Medicaid Fee Schedule | $66.44 median of the 8 states in the free preview · View Medicaid rates for 92317 |
National average reimbursement for CPT 92317 by major payers:
$87.45
$91.01
$93.42
$124.28
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92317.
CPT 92317
5 of 25 sample ratesHigher to lower in this preview
Ravi Ramasamy
Seattle Childrens Hospital
$221.30Published rateCorey Goldstein
Rush University Medical Center
$150.19Published rateCarolyn Doyle
Loyola University Medical Center
$138.91Published rateBikram Sharma
Saint Anthony Health Affiliates
$85.02Published rateMajed Dalloul
Saint Anthony Health Affiliates
$20.43Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 92317 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92317 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92317 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92314-CPT | Low | Fitting Of Contact Lens, Prescription Of Optical And Physical Characteristics Of Contact Lens With Medical Supervision Of Adaptation And Direction Of Fitting By Independent Technician; Corneal Lens Both Eyes Except For Aphakia |
| 92315-CPT | Low | C Lens Fitg Tech Aphakia 1, Prescription Of Optical And Physical Characteristics Of Contact Lens With Medical Supervision Of Adaptation And Direction Of Fitting By Independent Technician Corneal Lens For Aphakia 1 Eye |
| 92316-CPT | Low | C Lens Fitg Tech Aphakia Ou, Prescription Of Optical And Physical Characteristics Of Contact Lens With Medical Supervision Of Adaptation And Direction Of Fitting By Independent Technician Corneal Lens For Aphakia Both Eyes |
| 92317-CPT | Low | C Lens Fitg Tech Corneosclrl, Prescription Of Optical And Physical Characteristics Of Contact Lens With Medical Supervision Of Adaptation And Direction Of Fitting By Independent Technician Corneoscleral Lens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92317. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92317 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92317) and we'll show you how you compare in 15 minutes or less.