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Bifocal Lens, Sphere +/-4.12-7.00d

Iowa rates for HCPCS V2201

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

Rates data updated July 2026.

How much does Bifocal Lens, Sphere +/-4.12-7.00d cost?

$53.70

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $45.71 to $58.88.

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.

How much rates vary

Facilitymedian $69 · 10th to 90th $52 to $100Professionalmedian $54 · 10th to 90th $32 to $69
$20.0$50.0$100.0$200.0facility $69professional $54

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
$45.71
Median
$53.70
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$77.62
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$64.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$134.90
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$57.54

Where Iowa 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.

Iowa $53.70 · 33rd of 51
WY $66.07RI $44.67

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.