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Bifocal Lens, Sphere +/-4.12-7.00d

Minnesota 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?

$61.66

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $66.07 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$61.66$53.70 to $67.61
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $69.18

How much rates vary

Facilitymedian $66 · 10th to 90th $54 to $200Professionalmedian $62 · 10th to 90th $35 to $78
$20.0$50.0$100.0$200.0facility $66professional $62

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
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$100.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$69.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$95.50

Where Minnesota 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.

Minnesota $61.66 · 4th 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.