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Bifocal Lens, Sphere +/-4.12-7.00d

Maine 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?

$57.54

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $40.74 to $61.66.

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.

How much rates vary

Facilitymedian $170 · 10th to 90th $170 to $170Professionalmedian $58 · 10th to 90th $30 to $62
$50$100facility $170professional $58

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
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$58.88
Typical High
$61.66

Where Maine 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.

Maine· 10th of 51

$57.54

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.