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Bifocal Lens, Sphere +/-4.12-7.00d

Nebraska 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?

$54.95

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $70.79 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 5 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$54.95$46.77 to $58.88
FacilityA hospital or hospital-owned outpatient department$70.79$63.10 to $100

How much rates vary

Facilitymedian $71 · 10th to 90th $56 to $123Professionalmedian $55 · 10th to 90th $35 to $65
$20.0$50.0$100.0$200.0facility $71professional $55

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
$45.71
Median
$56.23
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$54.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$34.67
Typical High
$70.79

Where Nebraska 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.

Nebraska $54.95 · 18th 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.