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Bifocal Lens, Sphere over +/-12.00d

Indiana 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?

$48.98

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $105 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$43.65 to $77.62
FacilityA hospital or hospital-owned outpatient department$105$83.18 to $105

How much rates vary

Facilitymedian $105 · 10th to 90th $81 to $309Professionalmedian $49 · 10th to 90th $33 to $78
$20$50$100$200$500$1K$2Kfacility $105professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$89.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$38.90
Typical High
$44.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$15.49
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$11.75
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.76
Typical High
$8.91
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$104.71
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$74.13
CareSource
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$158.49
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$331.13
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$102.33
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$33.11
Typical High
$58.88

Where Indiana sits

The same service costs 2.6 times more in Hawaii 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.

Indiana· 50th of 51

$48.98

HI $126OH $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.