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Bifocal Lens, Sphere +/-4.12-7.00d

Utah 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?

$33.11

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $64.57 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$21.38 to $33.11
FacilityA hospital or hospital-owned outpatient department$64.57$21.38 to $77.62

How much rates vary

Facilitymedian $65 · 10th to 90th $21 to $79Professionalmedian $33 · 10th to 90th $21 to $56
$20$50$100facility $65professional $33

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.72
Median
$10.72
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.37
Median
$4.37
Typical High
$12.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.24
Median
$3.24
Typical High
$9.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.14
Median
$2.14
Typical High
$6.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Molina
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$117.49
Select Health
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Select Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$102.33
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$79.43
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$31.62
Typical High
$47.86

Where Utah 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.

Utah· 50th of 51

$33.11

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.