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Bifocal Lens, Sphere over +/-12.00d

Colorado rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Rates data updated October 2026.

How much does Bifocal Lens, Sphere over +/-12.00d cost?

$70.79

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $115 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$66.07$48.98 to $100
FacilityA hospital or hospital-owned outpatient department$115$100 to $174

How much rates vary

Facilitymedian $115 · 10th to 90th $87 to $251Professionalmedian $66 · 10th to 90th $38 to $100
$20$50$100$200facility $115professional $66

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$10.00
Typical High
$10.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$251.19
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$83.18
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$100.00
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$194.98
Select Health
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$218.78
Typical High
$251.19
Select Health
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$47.86
Typical High
$72.44

Where Colorado sits

The same service costs 2.6 times more in Hawaii than in Indiana. 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.

Colorado· 29th of 51

$70.79

HI $126IN $48.98

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.