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Single Vision Sphere, Plano to +/-4.00d

Washington 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?

$40.74

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $52.48 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 7 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$38.02$25.12 to $44.67
FacilityA hospital or hospital-owned outpatient department$52.48$40.74 to $74.13

How much rates vary

Facilitymedian $52 · 10th to 90th $34 to $123Professionalmedian $38 · 10th to 90th $19 to $60
$20$100$500$2K$10Kfacility $52professional $38

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.02
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$102.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$61.66
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$44.67
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$63.10

Where Washington 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.

Washington· 11th of 51

$40.74

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.