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Bifocal Sphere, Plano to +/-4.00d

Illinois rates for HCPCS V2200

Sphere, bifocal, plano to plus or minus 4.00d, per lens

Rates data updated October 2026.

How much does Bifocal Sphere, Plano to +/-4.00d cost?

$43.65

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $129 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$31.62 to $93.33
FacilityA hospital or hospital-owned outpatient department$129$87.10 to $339

How much rates vary

Facilitymedian $129 · 10th to 90th $78 to $741Professionalmedian $44 · 10th to 90th $29 to $93
$20$50$100$200$500$1Kfacility $129professional $44

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$53.70
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$21.88
Typical High
$26.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$8.71
Typical High
$10.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.61
Median
$6.61
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$4.37
Typical High
$5.37
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$154.88
Typical High
$851.14
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Hally Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$58.88
Typical High
$91.20
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$29.51
Typical High
$38.90

Where Illinois sits

The same service costs 2.8 times more in Montana than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 30th of 51

$43.65

MT $83.18OH $30.20

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.