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New York rates for HCPCS V2100

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

Facilitymedian $85 · 10th–90th $35$1290%20%10th90th$85Professionalmedian $38 · 10th–90th $20$620%10%20%10th90th$38$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $38.02 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $112.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $52.48 / $52.48
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $109.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.02 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.02 / $81.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $38.02 / $63.10