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Bifocal Lens, Sphere over +/-12.00d

North Carolina 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?

$89.13

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $95.50 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$89.13$75.86 to $97.72
FacilityA hospital or hospital-owned outpatient department$95.50$91.20 to $112

How much rates vary

Facilitymedian $95 · 10th to 90th $76 to $135Professionalmedian $89 · 10th to 90th $46 to $112
$50$100$200$500facility $95professional $89

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$87.10
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$125.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$58.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$977.24

Where North Carolina 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.

North Carolina· 2nd of 51

$89.13

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.