go back

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

Rhode Island 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.

Professionalmedian $26 · 10th–90th $17$330%20%10th90th$26$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$33.88