go back

Bifocal Lens, Sphere over +/-12.00d

Utah 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?

$48.98

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $97.72 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$32.36 to $50.12
FacilityA hospital or hospital-owned outpatient department$97.72$32.36 to $117

How much rates vary

Facilitymedian $98 · 10th to 90th $32 to $120Professionalmedian $49 · 10th to 90th $32 to $85
$20$50$100facility $98professional $49

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.22
Median
$16.22
Typical High
$42.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.46
Median
$6.46
Typical High
$16.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.90
Median
$4.90
Typical High
$12.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.24
Median
$3.24
Typical High
$8.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Molina
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$117.49
Typical High
$177.83
Select Health
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Select Health
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$117.49
Typical High
$131.83
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$120.23
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$47.86
Typical High
$72.44

Where Utah 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.

Utah· 49th of 51

$48.98

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.