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Bifocal Lens, Sphere +/-4.12-7.00d

Illinois rates for HCPCS V2201

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

Rates data updated October 2026.

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

$46.77

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $138 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$33.88 to $100
FacilityA hospital or hospital-owned outpatient department$138$93.33 to $363

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $794Professionalmedian $47 · 10th to 90th $31 to $100
$20$50$100$200$500$1Kfacility $138professional $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
$46.77
Median
$46.77
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$23.44
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$9.33
Typical High
$11.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.08
Typical High
$8.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$5.89
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$165.96
Typical High
$912.01
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$97.72
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$32.36
Typical High
$39.81

Where Illinois sits

The same service costs 3.0 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.

Illinois· 29th of 51

$46.77

MT $97.72OH $33.11

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.