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Single Vision Spherocylinder, Plano to +/-4.00d/0.12-2.00d

Minnesota rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $33$1410%20%10th90th$43Professionalmedian $39 · 10th–90th $24$550%10%20%10th90th$39$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$69.18
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$295.12
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.42
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.42
Typical High
$70.79