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Bifocal Sphere, Plano to +/-4.00d

Utah 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?

$30.20

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $54.95 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$19.95 to $30.90
FacilityA hospital or hospital-owned outpatient department$54.95$19.95 to $66.07

How much rates vary

Facilitymedian $55 · 10th to 90th $20 to $68Professionalmedian $30 · 10th to 90th $20 to $48
$20$50$100facility $55professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.00
Median
$10.00
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.98
Median
$3.98
Typical High
$11.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.95
Median
$2.95
Typical High
$8.32
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.00
Median
$2.00
Typical High
$5.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Molina
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$66.07
Typical High
$100.00
Select Health
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Select Health
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$67.61
Typical High
$85.11
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$67.61
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$29.51
Typical High
$43.65

Where Utah 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.

Utah· 49th of 51

$30.20

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.