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Bifocal Sphere, Plano to +/-4.00d

Kentucky rates for HCPCS V2200

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

Rates data updated July 2026.

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

$46.77

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $87.10 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$38.90 to $51.29
FacilityA hospital or hospital-owned outpatient department$87.10$61.66 to $95.50

How much rates vary

Facilitymedian $87 · 10th to 90th $49 to $95Professionalmedian $47 · 10th to 90th $26 to $59
$20$50$100facility $87professional $47

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$46.77
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.90
Typical High
$48.98

Where Kentucky sits

Rates are fairly even across states for this service. 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.

Kentucky· 48th of 51

$46.77

MT $63.10RI $42.66

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.