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

Virginia 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 $42 · 10th–90th $30$550%10%20%10th90th$42Professionalmedian $34 · 10th–90th $18$480%20%10th90th$34$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
$16.98
Median
$33.88
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$53.70
Typical High
$93.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
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
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$66.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$51.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$35.48
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$32.36
Sentara
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$54.95
Sentara
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$34.67