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

North Carolina 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 $35 · 10th–90th $29$520%20%40%10th90th$35Professionalmedian $35 · 10th–90th $19$420%20%10th90th$35$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
Professional
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$30.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$47.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$26.92
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$407.38