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Bifocal Lens, Sphere over +/-12.00d

Oregon 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?

$85.11

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $102 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$58.88 to $87.10
FacilityA hospital or hospital-owned outpatient department$102$102 to $105

How much rates vary

Facilitymedian $102 · 10th to 90th $79 to $115Professionalmedian $83 · 10th to 90th $42 to $100
$50$100facility $102professional $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. 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
$83.18
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$112.20
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$114.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$72.44

Where Oregon 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.

Oregon· 8th of 51

$85.11

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.