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Bifocal Lens, Sphere over +/-12.00d

New Mexico 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?

$75.86

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $77.62 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$48.98 to $83.18
FacilityA hospital or hospital-owned outpatient department$77.62$74.13 to $117

How much rates vary

Facilitymedian $78 · 10th to 90th $72 to $138Professionalmedian $76 · 10th to 90th $38 to $87
$20$50$100facility $78professional $76

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$83.18
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$41.69
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$16.60
Typical High
$19.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$12.30
Typical High
$14.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$8.32
Typical High
$9.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$95.50
Typical High
$95.50
Providence
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$74.13
Typical High
$77.62
Providence
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$50.12
Typical High
$75.86

Where New Mexico 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.

New Mexico· 24th of 51

$75.86

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.