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Single Vision Sphere, Plano to +/-4.00d

Kentucky rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Rates data updated July 2026.

How much does Single Vision Sphere, Plano to +/-4.00d cost?

$35.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $66.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$25.12 to $41.69
FacilityA hospital or hospital-owned outpatient department$66.07$46.77 to $74.13

How much rates vary

Facilitymedian $66 · 10th to 90th $38 to $74Professionalmedian $35 · 10th to 90th $19 to $45
$20$50facility $66professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.02
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$41.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$67.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$25.12
Typical High
$35.48

Where Kentucky sits

The same service costs 1.9 times more in Wyoming than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 49th of 51

$35.48

WY $53.70RI $28.84

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.