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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 October 2026.

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

$69.18

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $67.61 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$54.95 to $79.43
FacilityA hospital or hospital-owned outpatient department$67.61$56.23 to $158

How much rates vary

Facilitymedian $68 · 10th to 90th $56 to $282Professionalmedian $69 · 10th to 90th $27 to $100
$20$50$100$200$500facility $68professional $69

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$67.61
Typical High
$109.65
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$245.47
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$81.28
Typical High
$100.00
Health Partners
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$234.42
Typical High
$549.54
Health Partners
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$83.18
Medica
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$67.61
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$28.18
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$91.20
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$26.92
Typical High
$38.02

Where Minnesota 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.

Minnesota· 4th of 51

$69.18

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.