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Bifocal Lens, Sphere over +/-12.00d

Massachusetts rates for HCPCS V2214

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

Rates data updated July 2026.

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

$83.18

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $97.72 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$83.18$53.70 to $87.10
FacilityA hospital or hospital-owned outpatient department$97.72$70.79 to $102

How much rates vary

Facilitymedian $98 · 10th to 90th $60 to $148Professionalmedian $83 · 10th to 90th $42 to $100
$50$100$200facility $98professional $83

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
$41.69
Median
$77.62
Typical High
$100.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$87.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$87.10

Where Massachusetts sits

The same service costs 1.5 times more in Wyoming than in Kansas. 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· 30th of 51

$83.18

WY $100KS $64.57

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.