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Bifocal Lens, Sphere +/-4.12-7.00d

Tennessee 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?

$46.77

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $33.11 to $60.26.

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.

How much rates vary

Facilitymedian $56 · 10th to 90th $56 to $56Professionalmedian $47 · 10th to 90th $28 to $676
$20$50$100$200$500$1Kfacility $56professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
Professional
Modifier
None
Typical Low
$46.77
Median
$56.23
Typical High
$60.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$28.18
Typical High
$30.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$11.22
Typical High
$12.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$8.32
Typical High
$8.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$5.62
Typical High
$6.03
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$676.08
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$28.18
Typical High
$33.11

Where Tennessee 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.

Tennessee· 28th of 51

$46.77

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.