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Nationwide rates for HCPCS V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $48 · 10th–90th $32$850%20%10th90th$48Professionalmedian $37 · 10th–90th $20$460%20%10th90th$37$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $37.15 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $81.28 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $45.71 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $42.66