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

Texas 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 $37 · 10th–90th $28$690%10%20%10th90th$37Professionalmedian $34 · 10th–90th $19$420%20%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$50.12
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$47.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.89
Typical High
$20.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$44.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$47.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$29.51
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26