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

Tennessee 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 $224 · 10th–90th $224$2240%50%100%$224Professionalmedian $34 · 10th–90th $18$390%20%40%10th90th$34$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$25.70