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Texas rates for HCPCS V2101

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

Facilitymedian $51 · 10th–90th $37–$850%10%20%10th90th$51Professionalmedian $42 · 10th–90th $22–$580%10%10th90th$42$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $57.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $56.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $51.29 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $31.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $67.61 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $67.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.20 / $35.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61