go back

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

New Mexico 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 $39 · 10th–90th $25$1510%10%10th90th$39Professionalmedian $34 · 10th–90th $19$420%20%10th90th$34$10.0$20.0$50.0$100.0

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
Facility
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$26.30
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.02
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$30.90