go back

Bifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d

Wisconsin rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $59$2400%20%10th90th$74Professionalmedian $62 · 10th–90th $30$1020%20%10th90th$62$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$58.88
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$107.15
Typical High
$141.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$74.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$114.82
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$74.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$208.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$112.20
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$56.23