go back

Bifocal Sphere, Plano to +/-4.00d

Oregon 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?

$63.10

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $74.13 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$30.20 to $75.86
FacilityA hospital or hospital-owned outpatient department$74.13$69.18 to $79.43

How much rates vary

Facilitymedian $74 · 10th to 90th $65 to $126Professionalmedian $60 · 10th to 90th $30 to $100
$20$50$100$200facility $74professional $60

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
Professional
Modifier
None
Typical Low
$45.71
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.55
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.24
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.79
Median
$6.31
Typical High
$6.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$134.90
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$75.86
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$31.62
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$12.59
Typical High
$12.59
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.59
Median
$9.55
Typical High
$9.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$6.31
Typical High
$6.31
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$74.13
Typical High
$75.86
Providence
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$85.11
Typical High
$309.03
Providence
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$74.13
Typical High
$102.33
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$120.23
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.90
Typical High
$42.66

Where Oregon 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.

Oregon· 6th of 51

$63.10

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.