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Bifocal Lens, Sphere over +/-12.00d

Michigan 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?

$83.18

Typical negotiated rate. In Michigan, October 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 $138 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$83.18$72.44 to $102
FacilityA hospital or hospital-owned outpatient department$138$83.18 to $195

How much rates vary

Facilitymedian $138 · 10th to 90th $83 to $214Professionalmedian $83 · 10th to 90th $42 to $102
$20$50$100$200facility $138professional $83

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$75.86
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$38.02
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$15.14
Typical High
$16.60
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$11.22
Typical High
$12.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.59
Typical High
$8.32
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$147.91
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$194.98
Typical High
$213.80
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$83.18
Typical High
$83.18
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Priority Health
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$138.04
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$41.69
Typical High
$61.66

Where Michigan 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.

Michigan· 19th of 51

$83.18

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.