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Bifocal Sphere, Plano to +/-4.00d

North Carolina 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?

$53.70

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $53.70 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$52.48$43.65 to $57.54
FacilityA hospital or hospital-owned outpatient department$53.70$52.48 to $64.57

How much rates vary

Facilitymedian $54 · 10th to 90th $44 to $78Professionalmedian $52 · 10th to 90th $28 to $63
$10.0$20.0$50.0$100.0$200.0$500.0facility $54professional $52

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
$27.54
Median
$51.29
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$63.10
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
$30.20
Typical High
$46.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$74.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$38.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$616.60

Where North Carolina sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $53.70 · 11th of 51
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.