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Bifocal Lens, Sphere +/-4.12-7.00d

Kentucky 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?

$50.12

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $93.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$44.67 to $56.23
FacilityA hospital or hospital-owned outpatient department$93.33$67.61 to $105

How much rates vary

Facilitymedian $93 · 10th to 90th $55 to $105Professionalmedian $50 · 10th to 90th $28 to $63
$50$100facility $93professional $50

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. 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
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$53.70
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$51.29

Where Kentucky sits

Rates are fairly even across states for this service. 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.

Kentucky· 48th of 51

$50.12

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.