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Single Vision Spherocylinder, Plano to +/-4.00d/2.12-4.00d

South Carolina rates for HCPCS V2104

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

Rates data updated July 2026.

How much does Single Vision Spherocylinder, Plano to +/-4.00d/2.12-4.00d cost?

$36.31

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $30.90 to $39.81.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40 · 10th to 90th $28 to $49Professionalmedian $36 · 10th to 90th $19 to $43
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $40professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$30.20

Where South Carolina sits

The same service costs 1.7 times more in Wyoming than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Carolina $36.31 · 35th of 51
WY $48.98RI $28.84

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.