go back

Bifocal Lens, Sphere +/-4.12-7.00d

Washington 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?

$56.23

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $53.70 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$53.70$44.67 to $63.10
FacilityA hospital or hospital-owned outpatient department$75.86$57.54 to $107

How much rates vary

Facilitymedian $76 · 10th to 90th $48 to $178Professionalmedian $54 · 10th to 90th $28 to $87
$20$100$500$2K$10Kfacility $76professional $54

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
$53.70
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$147.91
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$77.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$89.13

Where Washington 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.

Washington· 15th of 51

$56.23

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.