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Bifocal Sphere, Plano to +/-4.00d

New Mexico 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?

$51.29

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $288 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$30.20 to $58.88
FacilityA hospital or hospital-owned outpatient department$288$83.18 to $372

How much rates vary

Facilitymedian $288 · 10th to 90th $55 to $457Professionalmedian $47 · 10th to 90th $12 to $81
$20$50$100$200$500facility $288professional $47

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$58.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.38
Median
$29.51
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$11.75
Typical High
$12.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$8.71
Typical High
$9.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.27
Median
$5.89
Typical High
$6.17
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$302.00
Typical High
$457.09
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$42.66
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$109.65
Providence
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$52.48
Typical High
$54.95
Providence
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$30.90
Typical High
$46.77

Where New Mexico 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.

New Mexico· 22nd of 51

$51.29

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.