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Bifocal Lens, Sphere over +/-12.00d

New York 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?

$77.62

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $151 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 9 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$77.62$64.57 to $91.20
FacilityA hospital or hospital-owned outpatient department$151$107 to $234

How much rates vary

Facilitymedian $151 · 10th to 90th $74 to $263Professionalmedian $78 · 10th to 90th $43 to $132
$50$100$200$500facility $151professional $78

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
$79.43
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$229.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$107.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
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
$48.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$245.47
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$128.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$173.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$128.82

Where New York 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.

New York· 43rd of 51

$77.62

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.