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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 October 2026.

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

$63.10

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $77.62 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63.10$33.11 to $75.86
FacilityA hospital or hospital-owned outpatient department$77.62$75.86 to $85.11

How much rates vary

Facilitymedian $78 · 10th to 90th $65 to $145Professionalmedian $63 · 10th to 90th $33 to $100
$20$50$100$200facility $78professional $63

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
Professional
Modifier
None
Typical Low
$51.29
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$6.31
Typical High
$6.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$147.91
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$75.86
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$31.62
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$12.59
Typical High
$12.59
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.13
Median
$9.55
Typical High
$9.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$6.31
Typical High
$6.31
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$77.62
Providence
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$87.10
Typical High
$309.03
Providence
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$75.86
Typical High
$102.33
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$123.03
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$33.11
Typical High
$42.66

Where Oregon 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.

Oregon· 9th of 51

$63.10

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.