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Bifocal Lens, Sphere +/-4.12-7.00d

Oregon 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?

$60.26

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $75.86 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 7 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$56.23$45.71 to $63.10
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $77.62

How much rates vary

Facilitymedian $76 · 10th to 90th $58 to $78Professionalmedian $56 · 10th to 90th $28 to $74
$20$50$100facility $76professional $56

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
Professional
Modifier
Global
Typical Low
$27.54
Median
$54.95
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$181.97
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$87.10
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$77.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$85.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$72.44
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$52.48

Where Oregon 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.

Oregon· 6th of 51

$60.26

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.