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Bifocal Sphere, Plano to +/-4.00d

Massachusetts 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?

$50.12

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $64.57 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 7 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$50.12$35.48 to $57.54
FacilityA hospital or hospital-owned outpatient department$64.57$60.26 to $67.61

How much rates vary

Facilitymedian $65 · 10th to 90th $58 to $98Professionalmedian $50 · 10th to 90th $26 to $63
$50$100facility $65professional $50

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
Professional
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$63.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$97.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$57.54
Typical High
$57.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$97.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$40.74
Typical High
$57.54

Where Massachusetts 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.

Massachusetts· 38th of 51

$50.12

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.