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North Carolina rates for HCPCS V2101

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

Facilitymedian $44 · 10th–90th $36–$650%20%40%10th90th$44Professionalmedian $42 · 10th–90th $21–$510%20%10th90th$42$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
$20.89 / $40.74 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $37.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $30.20
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $489.78