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Nationwide rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Facilitymedian $54 · 10th–90th $37–$950%20%10th90th$54Professionalmedian $40 · 10th–90th $21–$550%20%10th90th$40$1.0$10.0$100.0$1.0K$10.0K$100.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $40.74 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $123.03 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $35.48 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $46.77

See more rates by state

Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.