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Bifocal Lens, Sphere +/-7.12-20.00d

Massachusetts rates for HCPCS V2202

Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens

Rates data updated July 2026.

How much does Bifocal Lens, Sphere +/-7.12-20.00d cost?

$64.57

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $79.43 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$64.57$42.66 to $70.79
FacilityA hospital or hospital-owned outpatient department$79.43$60.26 to $83.18

How much rates vary

Facilitymedian $79 · 10th to 90th $60 to $117Professionalmedian $65 · 10th to 90th $32 to $81
$50$100facility $79professional $65

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$63.10
Typical High
$81.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$117.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$70.79
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$117.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$70.79

Where Massachusetts sits

The same service costs 1.7 times more in Wyoming than in Hawaii. 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.

Massachusetts· 26th of 51

$64.57

WY $87.10HI $51.29

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.