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Bifocal Lens, Sphere +/-4.12-7.00d

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $46.77 to $57.54.

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 $68 · 10th to 90th $68 to $68Professionalmedian $54 · 10th to 90th $28 to $66
$50facility $68professional $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. 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
$28.18
Median
$53.70
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$52.48

Where Michigan 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.

Michigan· 23rd of 51

$53.70

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.