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California rates for HCPCS V2101

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

Facilitymedian $56 · 10th–90th $35$1230%20%10th90th$56Professionalmedian $41 · 10th–90th $20$650%10%10th90th$41$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $40.74 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $67.61
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $162.18 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $72.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $61.66